人工髋关节不同术式治疗小儿麻痹症后遗症患侧股骨颈骨折探究  

Total Hip Arthroplasty for the Treatment of Femoral Neck Fracture on the Affected Side of Poliomyelitis Sequelae

作　　者：代明星[1] 张红军 江再旺 李传旭 DAI Ming-xing;ZHANG Hong-jun;JIANG Zai-wang;LI Chuan-xu(Orthopaedics Clinic,Tianjin Huanghe Hospital,Tianjin 300110)

机构地区：[1]天津市黄河医院骨科,天津300110

出　　处：《中国医疗器械信息》2023年第20期77-79,共3页China Medical Device Information

摘　　要：目的:观察不同方法治疗小儿麻痹症股骨颈骨折患者的效果。方法:选择2019年1月~2022年1月收治的76例患者,分为观察组和对照组各38例,分别进行全髋关节置换术(THR)与半髋关节置换术(FHA)治疗,比较两组治疗情况。结果:观察组手术用时长于对照组,术中失血量、术后引流量均多于对照组(P<0.05)。观察组髋关节功能优良率、术后并发症发生率分别为89.47%、7.89%,对照组分别为65.79%、23.68%,差异有统计学意义(χ^(2)=4.652,3.569,P=0.031,0.041)。结论:小儿麻痹症患肢并发股骨颈骨折患者进行THR治疗,效果确切。Objective:To observe the effect of different methods on the treatment of poliomyelitis patients with femoral neck fracture.Methods:76 patients admitted from January 2019 to January 2022 were selected and divided into observation group and control group,38 cases each.They were treated with total hip replacement(THR)and half hip replacement(FHA),respectively.The treatment of the two groups was compared.Results:The operation time of the observation group was shorter than that of the control group,and the blood loss and postoperative drainage volume of the observation group were less than those of the control group(P<0.05).The excellent and good rate of hip joint function and the incidence of postoperative complications in the test group were 89.47%and 7.89%respectively,and those in the control group were 65.79%and 23.68%,with statistical significance(χ^(2)=4.652,3.569,P=0.031,0.041).Conclusion:THR is effective and worth popularizing in the treatment of poliomyelitis limbs complicated with femoral neck fracture.

关 键 词：小儿麻痹症 股骨颈骨折 全髋关节置换术 效果观察 

分 类 号：R687.3[医药卫生—骨科学]