外侧小切口与后路小切口髋关节置换术治疗创伤性股骨颈骨折的效果分析  

Effect of Lateral and Posterior Small Incision Hip Replacement for Traumatic Femoral Neck Fracture

作　　者：陈英华 莫凡 韦武 黄巍峰 黄捷 Chen Yinghua;Mo Fan;Wei Wu;Huang Weifeng;Huang Jie(The Affiliated Langdong Hospital of Guangxi Medical University,Nanning 530000,Guangxi Zhuang Autonomous Region,China;The Second Affiliated Hospital of Guangxi Medical University,Nanning 530000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西医科大学附属埌东医院,广西壮族自治区南宁530000 [2]广西医科大学第二附属医院,广西壮族自治区南宁530000

出　　处：《中国社区医师》2024年第3期31-33,共3页Chinese Community Doctors

摘　　要：目的:分析外侧小切口与后路小切口髋关节置换术治疗创伤性股骨颈骨折的效果。方法:选取2020年3月—2021年12月广西医科大学附属埌东医院和广西医科大学第二附属医院收治的创伤性股骨颈骨折患者84例作为研究对象,随机分为两组,各42例。对照组采用外侧小切口髋关节置换术治疗,观察组采用后路小切口髋关节置换术治疗。比较两组治疗效果、手术指标及髋关节功能。结果:观察组总有效率高于对照组,差异有统计学意义(P=0.034)。观察组手术时间短于对照组,术中出血量少于对照组,切口长度短于对照组,差异有统计学意义(P<0.001)。术前,两组Harris髋关节功能评分比较,差异无统计学意义(P>0.05);术后60 d,两组Harris髋关节功能评分高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:后路小切口髋关节置换术治疗股骨颈骨折的效果较外侧小切口髋关节置换术效果显著,手术时间短、术中出血量少、切口长度短,术后髋关节功能更好。Objective:To analyze the effect of lateral small incision and posterior small incision hip replacement for traumatic femoral neck fracture.Methods:A total of eighty-four patients with traumatic femoral neck fracture admitted to the Affiliated Langdong Hospital of Guangxi Medical University and the Second Affiliated Hospital of Guangxi Medical University from March2020 to December 2021 were selected as the study objects,and were randomly divided into two groups,with forty-two cases in each group.The control group was treated with lateral small incision hip replacement,and the observation group was treated with posterior small incision hip replacement.The therapeutic effect,operative indexes and hip function of the two groups were compared.Results:The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P=0.034);The operation time,intraoperative blood loss and incision length in observation group were shorter than those in control group,and the difference was statistically significant(P<0.001);Before operation,there was no significant difference in Harris hip function score between the two groups(P>0.05);On day 60 after surgery,the Harris hip function score of the two groups was higher than that before surgery,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:Posterior small incision hip replacement is more effective than lateral small incision hip replacement in the treatment of femoral neck fracture,with shorter operation time,less bleeding,shorter incision length,and better hip joint function.

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：R687.3[医药卫生—骨科学]