多学科综合治疗模式下OCM入路和后外侧入路股骨头置换治疗高龄股骨颈骨折病人的临床疗效对比研究  

A comparative study on the clinical effect of OCM approach and posterolateral approach femoral head replacement in the treatment of elderly patients with femoral neck fracture under multi-disciplinary team mode

作　　者：王伯尧[1] 王云华[1] 何斌[1] 范磊[1] 秦虎[1] 沈亚骏 许诺[1] 庄志杰 WANG Bo-yao;WANG Yun-hua;HE Bin;FAN Lei;QIN Hu;SHEN Ya-jun;XU Nuo;ZHUANG Zhi-jie(Department of Orthopaedics,the Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, China)

机构地区：[1]南京医科大学第二附属医院骨科,江苏省南京市210011

出　　处：《实用老年医学》2021年第2期166-168,共3页Practical Geriatrics

摘　　要：目的对比多学科综合治疗(MDT)模式下慕尼黑骨科医院(OCM)入路和后外侧入路股骨头置换治疗高龄股骨颈骨折病人的临床疗效。方法42例在MDT模式下行股骨头置换的病人按手术入路分为试验组(n=20)和对照组(n=22)。试验组采用OCM入路,对照组采用后外侧入路,比较2组的手术时间、术中出血量、住院时间、术后3 d及术后3个月Harris评分。结果试验组的手术时间和对照组差异没有统计学意义(P>0.05),但试验组术中出血量少、住院时间短、术后3 d及术后3个月的Harris评分优良率高,差异均有统计学意义(P<0.05)。结论MDT模式下OCM入路股骨头置换治疗高龄股骨颈骨折病人的临床效果优于后外侧入路,值得推广。Objective To compare the clinical effect of OCM approach and posterolateral approach in the treatment of femoral neck fracture under multi-disciplinary team(MDT)mode.Methods A total of 42 elderly patients receiving MDT were divided into experimental group(n=20)and control group(n=22)according to the different treatment methods.The experimental group was treated with OCM approach and the control group received posterolateral approach.The operative time,intraoperative bleeding volume,hospitalization time,the Harris scores 3 days or 3 months after operation were compared between the two groups.Results There was no significant difference in the operation time between the experimental group and the control group(P>0.05).The levels of intraoperative bleeding,shorter hospital stay,and high rate of better Harris score 3 days or 3 months after operation in the experimental group were significantly than those in the control group.Conclusions Under MDT mode,OCM approach is better than posterolateral approach in the treatment of femoral neck fracture in the elderly patients.

关 键 词：多学科综合治疗 慕尼黑骨科医院入路 股骨颈骨折 老年人 

分 类 号：R683.42[医药卫生—骨科学]