mini-Swashbuckler入路联合股骨外侧微创内固定系统治疗股骨远端骨折患者的效果  

Effects of mini-Swashbuckler approach combined with minimally invasive external femoral internal fixation system in treatment of patients with distal femoral fractures

作　　者：成克松 CHEGN Kesong(Department of Traumatology and Orthopedics of Fangcheng County People’s Hospital,Nanyang 473200 Henan,China)

机构地区：[1]方城县人民医院创伤骨科,河南南阳473200

出　　处：《中国民康医学》2022年第2期57-59,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察mini-Swashbuckler入路联合股骨外侧微创内固定系统(LISS)治疗股骨远端骨折患者的效果。方法:选取80例股骨远端骨折患者为研究对象,按照随机数字表法分为对照组与观察组各40例。对照组采用传统Swashbuckler入路联合LISS治疗,观察组采用mini-Swashbuckler入路联合LISS治疗,比较两组临床相关指标水平、膝关节功能[美国特种外科医院膝关节功能(HSS)]评分、并发症发生率和生命质量[简明健康状况调查量表(SF-36)]评分。结果:观察组手术时间长于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);两组住院时间和骨折愈合时间比较,差异无统计学意义(P>0.05);术后3、6个月时,观察组HSS评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为5.00%(2/40),与对照组的10.00%(4/40)比较,差异无统计学意义(P>0.05);术后6个月,两组SF-36评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:mini-Swashbuckler入路联合LISS治疗股骨远端骨折患者可减少术中出血量,提高HSS和SF-36评分,效果优于传统Swashbuckler入路联合LISS治疗,但手术时间长于传统Swashbuckler入路联合LISS治疗。Objective:To observe effects of mini-Swashbuckler approach combined with minimally invasive external femoral internal fixation system(LISS)in treatment of patients with distal femoral fractures.Methods:80 patients with distal femoral fractures were selected as the research objects,and were divided into control group and observation group according to the random number table method,40 cases in each group.The control group was treated with traditional Swashbuckler approach combined with LISS treatment,while the observation group was treated with mini-Swashbuckler approach combined with LISS treatment.The level of the clinical related indicators,the knee joint function[the hospital for special surgery knee rating scale(HSS)score],the complication rate and the quality of life[short form health survey questionnaire(SF-36)]score were compared between the two groups.Results:The operation time of the observation group was longer than that of the control group;the intraoperative blood loss was less than that of the control group;and the differences were statistically significant(P<0.05).There were no statistically significant differences in the hospitalization time and the fracture healing time between the two groups(P>0.05).3 and 6 months after the surgery,the HSS score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The complication rates in the observation group and the control group were 5.00%(2/40)and 10.00%(4/40),and the difference was statistically significant(P<0.05).6 months after the surgery,the SF-36 scores of the two groups were higher than those before the surgery;that of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:Mini-Swashbuckler approach combined with LISS in the treatment of distal femoral fractures can reduce the intraoperative blood loss and improve the HSS score and SF-36 score.Moreover,it is superior to traditional Swashbuckler approach

关 键 词：股骨远端骨折 mini-Swashbuckler入路 股骨外侧微创内固定系统 膝关节功能 生命质量 并发症 

分 类 号：R683.1[医药卫生—骨科学]