切开复位内固定联合带血供骨瓣移植治疗股骨颈骨折的疗效及安全性观察  

Efficacy and safety of open reduction and internal fixation combined with vascularized bone graft in the treatment of femoral neck fracture

作　　者：邢秀峰[1] XING Xiufeng(Department of Orthopaedics,Jiamusi Hospital of Traditional Chinese Medicine in Heilongjiang Province,Jiamusi 154002,China)

机构地区：[1]黑龙江省佳木斯市中医院骨科

出　　处：《中国现代医生》2019年第26期72-75,共4页China Modern Doctor

摘　　要：目的探讨切开复位内固定联合带血供骨瓣移植治疗股骨颈骨折的疗效及安全性.方法选取我院2016年1月~2019年1月收治的46例股骨颈骨折患者作为观察对象,按照治疗方式的不同分为对照组22例、研究组24例.对照组采取切开复位内固定治疗,研究组采取切开复位内固定联合带血供骨瓣移植治疗,比较两组术中与术后情况、髋关节功能、不良反应及血清炎症因子指标.结果研究组手术时间长于对照组,出血量多于对照组(P<0.05),两组引流量、住院时间差异不明显(P>0.05);研究组并发症发生率为12.50%,低于对照组的40.91%(P<0.05);研究组髋关节功能优良率为91.67%,高于对照组的50.00%(P<0.05);两组血清炎症因子IL-1β、IL-6、IL-22水平差异不明显(P>0.05).结论切开复位内固定联合带血供骨瓣移植治疗股骨颈骨折后髋关节功能恢复效果优于单用切开复位内固定治疗,且不良反应少,不会加剧炎症反应.Objective To evaluate the efficacy and safety of open reduction and internal fixation combined with vascularized bone graft for the treatment of femoral neck fracture. Methods A total of 46 patients with femoral neck fractures who were admitted to our hospital from January 2016 to September 2019 were enrolled in the study. According to the different treatment, the patients were divided into 22 patients in the control group and 24 cases in the study group. The control group was treated with open reduction and internal fixation. The study group was treated with open reduction and internal fixation combined with vascularized bone graft. The intraoperative and postoperative conditions, hip function, adverse reactions and serum inflammatory factors were compared between the two groups. Results The operation time of the study group was longer than that of the control group, and the amount of bleeding of the study group was more than that of the control group(P<0.05). There was no significant difference between the two groups in drainage volume and hospitalization time(P>0.05). The complication rate of the study group was 12.50%, which was lower than 40.91% of the control group(P<0.05). The excellent and good rate of hip function in the study group was 91.67%, which was higher than that of the control group (50.00%)(P<0.05). The differences in the serum inflammatory factors IL-1β, IL-6, IL-22 were not significant (P>0.05). Conclusion The effect of open reduction and internal fixation combined with vascularized bone graft in the treatment of femoral neck fracture is better than that of open reduction and internal fixation, which has less adverse reactions and will not aggravate the inflammatory response.

关 键 词：股骨颈骨折 切开复位内固定 带血供骨瓣移植 并发症 关节功能 

分 类 号：R687.3[医药卫生—骨科学]