改良Smith-Peterson入路和Moore入路人工股骨头置换治疗高龄股骨颈骨折的疗效分析  

Therapeutic effect of improved Smith-Peterson and Moore approaches for artificial femoral head replacement in treatment for elderly femoral neck fractures

作　　者：樊峰 李文海 秦红安 张光雪 Fan Feng;LI Wenhai;QIN Hongan;Zhang Guangxue(The First Orthopedics Department,Xinyang People'a Hospital,Xinyang,Henan 464000,China;Health Management Department,Xinyang Central Hospital,Xinyang,Henan 464000,China)

机构地区：[1]信阳市人民医院骨一科,河南信阳464000 [2]信阳市中心医院健康管理科,河南信阳464000

出　　处：《中国医学工程》2025年第2期87-92,共6页China Medical Engineering

摘　　要：目的 研究改良Smith-Peterson入路和Moore入路人工股骨头置换治疗高龄股骨颈骨折的疗效。方法 该研究采用前瞻性、随机对照设计,研究时间为2020年1月至2022年12月,入组人群为信阳市人民医院行人工股骨头置换的股骨颈骨折的高龄老年患者。按照患者的入院时间,随机分为两组,一组患者行Moore入路(n=51)为Moore组,一组患者行改良的Smith-Peterson入路(n=52)为Smith-Peterson组。对患者手术情况、疼痛情况、生活质量、Harris评分、术后并发症发生情况及髋关节假体髋臼外展角、前倾角情况进行评估。结果 Smith-Peterson组患者,伤口长度为(10.01±1.01) cm,手术用时为(61.22±11.38) min,出血量为(77.28±21.35) mL,患者术后卧床时间(1.25±0.42) d,留院时间为(9.01±1.76) d,与Moore组患者比较差异有统计学意义(P<0.05);治疗后,Smith-Peterson组患者的视觉模拟量表(VAS)评分、生活质量、Harris评分分别为(2.87±0.41)分、(83.19±7.97)分和(86.34±9.12)分,与Moore组患者比较差异有统计学意义(P<0.05);Smith-Peterson组患者髋臼外展角、前倾角及术后并发症与Moore组患者比较,差异无统计学意义(P>0.05)。结论 采用的改良Smith-Peterson入路,可以减轻股骨颈骨折患者术后的疼痛程度,加快髋关节功能的恢复,改善患者生活质量,减少住院时间,临床应用价值显著。【Objective】 To investigate the therapeutic effect of modified Smith-Peterson and Moore approaches for artificial femoral head replacement in the treatment of elderly femoral neck fractures.【Methods】 This clinical study adopted a prospective,randomized controlled design.The research period is from January 2020 to December 2022.The enrolled population is elderly patients with femoral neck fractures who hav undergone artificial femoral head replacement in Xinyang People's Hospital.According to the admission time of the patients,they were randomly divided into two groups.One group of patients who underwent the Moore approach(n=51) was called the Moore group,and the other group of patients who underwent the modified Smith-Peterson approach(n=52) was called the Smith-Peterson group.The patient's surgical condition,pain level,quality of life,Harris score,incidence of postoperative complications,and hip joint prosthesis acetabular abduction angle and anteversion angle were evaluated.【Results】 The Smith-Peterson group patients had a wound length of 10.01±1.01 cm,a surgical time of 61.22±11.38 min,a bleeding volume of 77.28±21.35 mL,a postoperative bed rest time of 1.25±0.42 d,and a hospital stay time of 9.01±1.76 d;the difference between the two groups was statistically significant(P<0.05).After treatment,the Visual Analogue Scale(VAS) score,quality of life,and Harris score of Smith-Peterson group patients were 2.87±0.41 points,83.19±7.97 points,and 86.34±9.12 points,respectively;the difference between the two groups was statistically significant(P<0.05).There was no statistically significant difference in the hip abduction angle,anterior inclination angle,and postoperative complications between the two groups(P>0.05).【Conclusion】 The application of modified Smith-Peterson approach can alleviate postoperative pain in patients with femoral neck fractures,promote the recovery of knee joint function,improve patients' quality of life,reduce hospitalization time,with significant clinical application val

关 键 词：高龄股骨颈骨折 改良Smith-Peterson入路 Moore入路 人工股骨头置换 临床疗效 

分 类 号：R683.42[医药卫生—骨科学]