外侧小切口与后路小切口髋关节置换术在创伤性股骨颈骨折患者中的应用对照分析  

Comparative Analysis of Lateral Small Incision and Posterior Small Incision Hip Arthroplasty in Patients with Traumatic Femoral Neck Fractures

作　　者：颜景涛[1] YAN Jingtao(Orthopedics Department,Section Two,Changping District Hospital,Beijing,102200 China)

机构地区：[1]北京市昌平区医院骨二科,北京102200

出　　处：《中外医疗》2022年第9期64-67,73,共5页China & Foreign Medical Treatment

摘　　要：目的比较外侧小切口与后路小切口髋关节置换术在创伤性股骨颈骨折(TFNF)患者中的应用效果。方法方便选取2019年7月—2021年6月该院收治的TFNF患者92例,以随机数表法分为两组,每组46例。对照组行外侧小切口髋关节置换术,研究组行后路小切口髋关节置换术。比较两组患者的临床疗效、手术时间、术中失血量与术后引流量,治疗前后疼痛视觉模拟评分法(VAS),以及术后并发症情况。结果研究组治疗的优良率(93.48%)与对照组(89.13%)对比,差异无统计学意义(χ^(2)=0.137,P>0.05)。研究组手术时间(88.42±10.50)min与对照组(90.54±12.05)min对比,差异无统计学意义(P>0.05);研究组术中失血量(335.52±40.45)mL、术后引流量(145.62±18.54)mL较对照组(525.65±42.47)、(316.52±36.40)mL低,差异有统计学意义(t=21.897,28.375,P<0.05)。治疗后研究组VAS评分(2.22±0.52)分较对照组(2.75±0.48)分低,差异有统计学意义(t=5.080,P<0.05)。研究组术后并发症发生率(4.35%)与对照组(8.70%)对比,差异无统计学意义(χ^(2)=0.178,P>0.05)。结论外侧小切口与后路小切口髋关节置换术治疗TFNF的治疗效果与安全性相当,但后路小切口髋关节置换术术中失血量与术后引流量相对更少,能进一步改善患者的疼痛感,适于临床推广。Objective To compare the effect of lateral small incision and posterior small incision hip arthroplasty in patients with traumatic femoral neck fracture(TFNF).Methods A total of 92 TFNF patients admitted to the hospital from July 2019 to June 2021 were conveniently selected.They were divided into two groups by random number table,with 46 cases in each group.The control group underwent lateral small incision hip arthroplasty,while the study group underwent posterior small incision hip arthroplasty.The clinical efficacy,operation time,intraoperative blood loss and postoperative drainage volume,visual analogue scale(VAS)of pain before and after treatment,and postoperative complications after treatment were compared between the two groups.Results The excellent and good rate of treatment in the study group was 93.48%compared with 89.13%in the control group,and the difference was not statistically significant(χ^(2)=0.137,P>0.05).There was no statistically significant difference in operation time between the study group(88.42±10.50)min and the control group(90.54±12.05)min(P>0.05).Compared the intraoperative blood loss(335.52±40.45)mL,postoperative drainage volume(145.62±18.54)mL of the study group,which was lower than them of the control group were(525.65±42.47)mL and(316.52±36.40)mL,the difference was statistically significant(t=21.897,28.375,P<0.05).After treatment,the VAS score of the study group(2.22±0.52)points was lower than that of the control group(2.75±0.48)points,the difference was statistically significant(t=5.080,P<0.05).The incidence of postoperative complications in the study group was 4.35%compared with 8.70%in the control group,and the difference was not statistically significant(χ^(2)=0.178,P>0.05).Conclusion The treatment efficacy and safety of lateral small incision hip arthroplasty and posterior small incision hip arthroplasty in the treatment of TFNF are comparable,but the blood loss and postoperative drainage are relatively less in posterior small incision hip arthroplasty,and the pain s

关 键 词：外侧小切口 后路小切口 髋关节置换术 创伤性股骨颈骨折 

分 类 号：R5[医药卫生—内科学]