急诊闭合复位和切开复位空心钉治疗股骨颈骨折的疗效对比分析  

Comparison and Analysis on Emergency Closed and Open Reduction with Cannulated Screws Fixation in Femoral Neck Fractures

作　　者：李科[1] 刘明华[1] 张雷[1] 徐世伟[1] 尹昌林[1] 任小宝[1] 向强[1] 

机构地区：[1]解放军第三军医大学西南医院急诊科,重庆400038

出　　处：《现代生物医学进展》2017年第13期2556-2559,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81071537)

摘　　要：目的:研究分析急诊闭合复位和切开复位空心钉治疗股骨颈骨折的疗效。方法:选取2013年6月至2014年6月期间于我院接受治疗的92例急诊股骨颈骨折患者,将所有患者(按随机数字表法)均分为观察组(n=46)和对照组(n=46)。观察组患者采取切开复位空心钉治疗法进行治疗,对照组则采取闭合复位空心钉治疗法进行诊疗。比较两组患者术中术后情况、随访中髋关节功能Harris评分以及相关术后并发症情况。结果:观察组患者所需的手术时间、术中出血量、伤口长度明显多于对照组[(61.43±5.34)min、(30.54±4.27)m L、(6.43±0.56)cm比(46.54±3.26)min、(16.43±2.43)m L、(1.83±0.44)cm](P<0.05)。观察组的髋关节功能Harris评分优良率显著高于对照组[82.61%(38/46)比50.00%(23/46)](P<0.05)。两组患者的骨折不愈合率比较无显著性差异(P>0.05),观察组的股骨头坏死率显著低于对照组[2.17%(1/46)比13.04%(6/46)](P<0.05)。结论:应用切开复位空心钉治疗股骨颈骨折患者的方法更佳,其临床治疗效果更好且患者股骨头发生缺血坏死的几率也更低。Objective：To study comparison and analysis on emergency closed and open reduction with cannulated screws fixation in femoral neck fractures.Methods：92 cases with femoral neck fractures from June 2015 to June 2016 period in our hospital were researched,according to the random number table they were divided into observation group （n=46） and control group （n=46）.Observation group were treated by open reduction and cannulated screws,control group were used closed reduction and cannulated screws.Two groups of patients with intraoperative,postoperative follow-up situation,Harris hip function score and related complications were compared.Results：Observation group of patients required for operation time,intraoperative blood loss,wound length significantly more than the control group[（61.43± 5.34）min,（30.54± 4.27）mL,（6.43± 0.56）cm VS （46.54± 3.26）min,（16.43± 2.43）mL,（1.83±0.44）cm] （P〈0.05）.Function Hariis hip score of observation group was significantly higher than the control group [82.61% （38/46） VS 50.00%（23/46）]（P〈0.05）.Two groups of patients with fracture healing rate had no significant difference （P〉0.05）,observation group of femoral head necrosis rate was significantly lower than the control group [2.17% （1/46） VS 13.04% （6/46）]（P〈0.05）.Conclusion：Application of open reduction and hollow nail in the treatment of patients with femoral neck fracture method has more advantages,it has better clinical effects and lower incidence rate of ischemic necrosis in femoral head.

关 键 词：闭合复位 切开复位 空心钉 股骨颈骨折 

分 类 号：R683[医药卫生—骨科学]