改良单侧截石位及G形臂在GardenⅠ、Ⅱ型股骨颈骨折闭合复位内固定术的应用分析  

Treatment of Garden Ⅰ,Ⅱ type femoral neck fracture with modified unilateral lithotomy position combined with G-shaped arms

作　　者：刘继春[1] 唐志红[1] 王灿斌[1] 孙琦[1] 吕仁发[1] LIU Ji-chun;TANG Zhi-hong;WANG Can-bin;SUN Qi;LV Ren-fa(Department of Orthopedics,The 184th Hospital of PLA,Yingtan,Jiangxi 335000,China)

机构地区：[1]解放军第184医院骨科,江西鹰潭335000

出　　处：《创伤外科杂志》2018年第5期350-352,共3页Journal of Traumatic Surgery

摘　　要：目的分析改良单侧截石位及G型臂在GardenⅠ、Ⅱ型股骨颈骨折闭合复位内固定术中的应用分析。方法按照随机数字表法将解放军第184医院2016年2月—2017年5月收治的GardenⅠ、Ⅱ型股骨颈骨折患者68例分为对照组32例,干预组36例,对照组采用常规体位及C型臂,干预组采用改良单侧截石位及G型臂。比较两组患者的手术时间、术中透视次数、术中出血量、术中人员流动情况。结果干预组手术时间[(1.13±0.13)h]明显短于对照组[(1.67±0.24)h](P<0.05),患者放射暴露剂量[(27.14±1.93)μSv]显著低于对照组[(38.19±2.40)μSv],术中出血量[(88.06±16.62)m L]明显少于对照组[(162.00±11.17)m L](P<0.05),干预组在手术过程中G型臂X线机无需移动位置,术中人员流动人次[(19.88±3.26)次]较对照组[(32.92±3.74)次]少,无效手术时间大大减少。结论改良单侧截石位联合G型臂在GardenⅠ、Ⅱ型股骨颈骨折闭合复位内固定术中应用明显减少了无效透视次数、无效手术时间,具有手术时间短、术中出血少、操作简捷、医务人员及患者射线暴露时间次数少剂量小、手术出血量减少的优势。Objective To study the application of modified unilateral lithotomy combined with G-arm in the reconstruction of Garden Ⅰ and Ⅱ femoral neck fractures. Methods Sixty-eight patients with Garden Ⅰ and Ⅱfemoral neck fractures in our hospital from Feb. 2016 to May 2017 were divided into control group（ 32 cases） and intervention group（ 36 cases）. The control group was treated with conventional position and C Shaped arm,and the intervention group was treated with improved unilateral lithotomy position combined with G-shaped arm. The operative time,intraoperative blood loss,and intraoperative flow were compared between the two groups. Results The operation time of the intervention group（（ 1. 13 ± 0. 13） h） was significantly shorter than that of the control group（（ 1. 67 ± 0. 24） h,P 0. 05）. The dose of radiation exposure（（ 27. 14 ± 1. 93） μSv） was significantly less than that of the control group（（ 38. 19 ± 2. 40） μSv,P 0. 05）. The intra-operative bleeding volume（（ 88. 06 ± 16. 62）m L） was significantly less than that of the control group（（ 162. 00 ± 11. 17） m L,P 0. 05）. In the intervention group,the G-shaped X-ray machine had no need to move the position during the operation,and the operation was convenient and the operation time was greatly reduced. Conclusion The application of modified unilateral lithotomy position combined with G-arm in the reconstruction of Garden Ⅰ and Ⅱ femoral neck fractures significantly reduces the number of ineffective fluoroscopy and ineffective operation time,which has advantages such as short operative time,less intraoperative blood loss,simple operation,reduced surgical bleeding and reduced radiation exposure time for medical personnel.

关 键 词：股骨颈骨折 截石位 G型臂 放射暴露 

分 类 号：R683.42[医药卫生—骨科学]