Ganz截骨入路治疗股骨头骨折的疗效观察  

Clinical Effect of Ganz Osteotomy in the Treatment of Femoral Head Fracture

作　　者：张欣[1] 杨军[1] 王维[1] ZHANG Xin;YANG Jun;WANG Wei(Department of Orthopedics,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院创伤骨科,沈阳110004

出　　处：《医学综述》2018年第23期4773-4776,共4页Medical Recapitulate

摘　　要：目的探讨Ganz截骨入路治疗股骨头骨折的临床疗效。方法回顾性分析2013年11月至2016年11月中国医科大学附属盛京医院收治的56例股骨头骨折患者的临床资料,依据治疗方法不同分为对照组和研究组,各28例。对照组采用K-L入路治疗,研究组采用Ganz截骨入路治疗。对比观察两组患者的手术指标、并发症发生率、髋关节功能评分以及患者疼痛评分。结果研究组患者手术时间长于对照组[(86±17) min比(74±15) min](P <0. 05),术中出血量以及骨折愈合时间少于对照组[(330±20) m L比(372±21) m L,(16. 1±2. 7)周比(19. 4±3. 2)周](P <0. 05)。对照组与研究组术后并发症发生率比较差异无统计学意义[17. 8%(5/28)比3. 5%(1/28)](P> 0. 05)。两组患者术后1,3,6个月髋关节功能评分均较术前呈上升趋势,且研究组上升速度更快,两组在组间、时点间、组间、时点间比较差异均有统计学意义(P <0. 05);两组患者术后1,3,6个月视觉模拟评分均较术前呈下降趋势,且研究组下降速度更快,两组在组间、时点间、组间·时点间比较差异均有统计学意义(P <0. 05)。结论 Ganz截骨入路治疗股骨头骨折的安全性较高、疗效较佳,亦可以减少患者术后疼痛感,患者接受度较大。Objective To investigate the efficacy of Ganz osteotomy for the treatment of femoral head fractures.Methods A retrospective analysis of56patients with femoral head fractures admitted to Shengjing Hospital of China Medical University from Nov.2013to Nov.2016was performed.The patients were divided into a study group and a control group according to the treatment method,28cases each.The control group adopted K-L approach,while the study group adopted Ganz approach.The surgical index,complication rate,hip function score and patient pain score were compared between the two groups.Results The operation time of the study group was higher than that of the control group[(86±17)min vs(74±15)min](P<0.05).The intraoperative blood loss and fracture healing time in the study group were lower than those in the control group[(330±20)mL vs(372±21)mL,(16.1±2.7)week vs(19.4±3.2)week](P<0.05).There was no significant difference in the incidence of postoperative complications between the control group and the study group[17.8%(5/28)vs3.5%(1/28)](P>0.05).The hip function scores of the two groups were compared at1,3,and6months after surgery,both presenting an upward trend compared to the preoperation and the study group′ascending rate was faster.The differences between groups,time points and group·time point interactions were statistically significant(P<0.05).The visual analogue scale scores at1,3,6months after surgery were lower than those before surgery,and the decline rate of the study group was faster.There were significant differences between groups,time points and group·time point interactions(P<0.05).Conclusion Ganz osteotomy is safe and effective in the treatment of femoral head fractures.It can also reduce the postoperative pain of the patients,making it more acceptable.

关 键 词：股骨头骨折 K-L入路 Ganz截骨 

分 类 号：R683.3[医药卫生—骨科学]