带血管蒂游离腓骨移植治疗在股骨头坏死治疗中应用的效果分析  

Effect Analysis of Vascular Pedicle Free Fibular Transplantation in the Treatment of Femoral Head Necrosis

作　　者：何金海 丁亚军 纪秉青 邹国友 刘红兵 林森[2] HE Jinhai;DING Yajun;JI Bingqing;ZOU Guoyou;LIU Hongbing;LIN Sen(Orthopedics Department,Yancheng First People's Hospital(Yancheng First Hospital Affiliated of Nanjing University Medical College),Yancheng 224000,Jiangsu,China;Orthopedics Department,Shanghai Sixth People's Hospi-tal,Shanghai 200233,China)

机构地区：[1]盐城市第一人民医院(南京大学医学院附属盐城第一医院)骨科,江苏盐城224000 [2]上海第六人民医院骨科,上海200233

出　　处：《系统医学》2024年第15期77-80,共4页Systems Medicine

摘　　要：目的 分析带血管蒂游离腓骨移植在股骨头坏死患者治疗中应用的效果。方法 非随机选取2018年9月—2023年9月盐城市第一人民医院治疗的81例股骨头坏死患者为研究对象,按手术方法不同将其分为两组。对照组40例,给予外科脱位头颈开窗术、坏死骨清除术及打压植骨术联合治疗。观察组41例,行带血管蒂游离腓骨移植治疗。比较两组Harris评分、手术相关指标、临床疗效、并发症发生率。结果 治疗后,观察组Harris评分高于对照组,切口短于对照组,术中出血量少于对照组,住院时间短于对照组,差异有统计学意义(P均<0.05)。观察组总有效率为97.56%(40/41),高于对照组的82.50%(33/40),差异有统计学意义(χ^(2)=5.160,P<0.05)。观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论 带血管蒂游离腓骨移植在股骨头坏死治疗中应用的效果优于外科脱位头颈开窗、坏死骨清除、打压植骨术联合治疗,可降低并发症发生率。Objective To analyze the effect of free fibula graft in the treatment of femoral head necrosis.Methods Eighty-one cases of femoral head necrosis patients treated in the First People′s Hospital of Yancheng City from Sep-tember 2018 to September 2023 were non-randomly selected as the study subjects,and they were divided into two groups according to the different surgical methods.In the control group,forty cases were given the combined treatment of surgical dislocation head and neck opening,necrotic bone removal and compression bone grafting.In the observa-tion group,forty-one cases were treated with free fibula graft with vascularized tip.Compared the Harris score,surgery-related indexes,clinical efficacy,and complication rate of the two groups.Results After treatment,the Harris scores of the observation group were higher than those of the control group,the incision was shorter than that of the control group,the intraoperative bleeding was less than that of the control group,and the hospitalization time was shorter than that of the control group,and the differences were statistically significant(all P<0.05).The total effective rate of the observation group was 97.56%(40/41),which was higher than 82.50%(33/40)of the control group,and the difference was statistically significant(χ^(2)=5.160,P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Free fibular bone graft with vascularized tip applied in the treatment of femoral head necrosis is superior to the combination of surgical dislocation head and neck opening,necrotic bone removal,and compression bone grafting,which reduces the complication rate.

关 键 词：带血管蒂游离 腓骨移植 股骨头坏死 不良反应 

分 类 号：R68[医药卫生—骨科学]