对比分析外侧小切口与后路小切口髋关节置换术治疗老年创伤性股骨颈骨折的效果  

To Compare the Effects of Lateral Mini-incision Hip Arthroplasty and Posterior Mini-incision Hip Arthroplasty in the Treatment of Traumatic Femoral Neck Fractures in the Elderly

作　　者：宋景光 张超 SONG Jingguang;ZHANG Chao(Department of orthopedics,Yanggu peoples hospital,Yyanggu,Shandong 252300)

机构地区：[1]阳谷县人民医院骨科,山东阳谷252300

出　　处：《中国伤残医学》2023年第11期1-5,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究分别采用外侧小切口髋关节置换术、后路小切口髋关节置换术治疗老年创伤性股骨颈骨折的效果。方法:回顾性选择我院2018年3月-2021年3月收治的87例老年创伤性股骨颈骨折的患者作为研究对象,按手术的差异将其分为对照组(43例)和观察组(44例),对照组用外侧小切口髋关节置换术,观察组用后路小切口髋关节置换术。对比2组手术相关指标、疼痛情况(VAS评分)、膝关节功能(Harris评分)、血清Ⅰ型前胶原氨基端前肽(PINP)、血清骨特异性碱性磷酸酶(BAP)、骨γ-羧谷氨酸包含蛋白(BGP)、并发症和生活质量(SF-36评分)。结果:观察组切口长度、下床活动时间短于对照组,且术中出血量、引流量少于对照组(P<0.05);观察组术后VAS评分低于对照组,且术后1、3个月的Harris评分均比对照组高(P<0.05);观察组术后1个月的BAP、PINP和BGP水平均高于对照组(P<0.05);观察组的并发症总发生率低于对照组(P<0.05);术后3个月2组SF-36各维度评分比较,观察组比对照组高(P<0.05)。结论:采用后路小切口髋关节置换术治疗老年创伤性股骨颈骨折的效果较好,手术各项指标更有优势,可减轻其疼痛感,改善髋关节功能和骨代谢指标,降低并发症发生风险,提高生活质量。To investigate the effect of lateral mini-incision hip replacement and posterior mini-incision hip replacement in the treatment of traumatic femoral neck fractures in the elderly.Methods:A total of 87 elderly patients with traumatic femoral neck fracture admitted from March 2018 to March 2021 were retrospectively selected as the research objects.According to the differences in surgery,they were divided into the reference group(43 cases)and the study group(44 cases).The reference group was treated with lat-eral small incision hip replacement,while the study group was treated with posterior small incision hip replacement.Comparative index,pain is related to the operation of two groups[simulation visual pain scale(VAS)],the knee joint function type(Harris scores),serumⅠbefore collagen amino terminal propeptide(PINP),serum bone-specific alkaline phosphatase(BAP),bone gamma carboxy glutam-ic acid containing protein(BGP),complications and quality of life profile[health survey(SF-36).Results:The length of incision and the time of getting out of bed in the study group were shorter than those in the reference group,and the intraoperative blood loss and drainage volume were less than those in the reference group(P<0.05).The VAS score of the study group was lower than that of the ref-erence group,and the Harris score at 1 and 3 months after operation was higher than that of the reference group(P<0.05);The BAP,PINP and BGP levels in the study group were higher than those in the reference group at 1 month after operation(P<0.05).The total incidence of complications in the study group was lower than that in the reference group(P<0.05);Three months after operation,the SF-36 scores of the two groups were higher in the study group than in the reference group(P<0.05).Conclusion:The effect of poste-rior mini-incision hip replacement in the treatment of traumatic femoral neck fracture in the elderly is good,and the surgical indicators have more advantages,which can reduce the pain sensation,improve the hip function and bone metabo

关 键 词：老年创伤性股骨颈骨折 后路小切口髋关节置换术 外侧小切口髋关节置换术 疼痛感 髋关节功能 

分 类 号：R683.42[医药卫生—骨科学]