关节囊切开减压术对股骨颈骨折愈合的影响  

Effect of Joint Capsulotomy on Femoral Neck Fracture Healing

作　　者：武国宝 史良 WU Guo-bao;SHI Liang(Xinlicheng Angang General Hospital,Henan Anyang 455000)

机构地区：[1]新里程安钢总医院,河南安阳455000

出　　处：《深圳中西医结合杂志》2023年第1期90-92,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探究关节囊切开减压术对股骨颈骨折愈合的影响。方法:研究对象为2016年5月至2020年5月于新里程安钢总医院治疗的股骨颈骨折患者96例,用随机数表法将患者分为观察组和对照组,观察组行关节囊切开减压术,对照组未行关节囊切开减压术。比较两组患者围术期指标、骨折愈合时间、髋关节功能恢复情况和股骨头坏死率及并发症发生率。结果:观察组患者手术时间、术中出血量明显多于对照组,差异均具有统计学意义(P <0.05),而两组患者下床活动时间及住院时间比较,差异均无统计学意义(P> 0.05)。观察组患者骨折愈合时间为(5.08±0.85)个月,明显短于对照组的(5.89±0.91)个月,观察组患者股骨头坏死率为4.17%,明显低于对照组的25.00%,差异均具有统计学意义(P <0.05)。两组患者术后Harris评分均随时间的延续而有明显提高,且观察组患者术后1、6、12个月的Harris评分均高于对照组,差异均具有统计学意义(P <0.05)。观察组患者术后切口感染、深静脉血栓、压疮等并发症的总发生率明显低于对照组,差异具有统计学意义(P <0.05)。结论:股骨颈骨折患者采用关节囊切开减压术治疗有助于促进愈合效率,降低股骨头坏死发生率。Objective To investigate the effect of joint capsulotomy on neck femoral fracture healing.Methods A total of 96 patients with femoral neck fracture treated in Xinlicheng Angang General Hospital from May 2016 to May 2020 were enrolled.The patients were divided into an observation group and a control group by random number table method.The observation group underwent joint capsulotomy,and the control group did not undergo joint capsulotomy.The perioperative indicators,fracture healing time,hip joint function recovery,femoral head necrosis rate and incidence of complications were compared between the two groups.Results The operation time and intraoperative blood loss of the observation group were significantly more than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the time of get out of bed activity and hospitalization time between the two groups(P>0.05).The fracture healing time of the observation group was(5.08±0.85)months,significantly shorter than(5.89±0.91)months of the control group,and the femoral head necrosis rate of the observation group was 4.17%,significantly lower than 25.00%of the control group,the differences were statistically significant(P<0.05).The Harris scores of the two groups increased significantly with time,and the Harris scores of the observation group at 1,6 and 12 months after operation were higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of incision infection,deep vein thrombosis,pressure ulcer and other complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Joint capsulotomy for patients with femoral neck fracture can promote healing efficiency and reduce the incidence of femoral head necrosis.

关 键 词：股骨颈骨折 关节囊切开减压术 股骨头坏死 

分 类 号：R683.42[医药卫生—骨科学]