股骨颈动力交叉钉系统与空心加压螺钉对股骨颈骨折患者的疗效分析  

Analysis of Therapeutic Effect of Femoral Neck Dynamic Cross Screw System and Hollow Compression Screw in Patients with Femoral Neck Fracture

作　　者：龙广 LONG Guang(Department of NO.2 Orthopedics,Shougang Shuigang Hospital,Liupanshui 553000,China)

机构地区：[1]首钢水钢医院骨外二科,贵州六盘水553000

出　　处：《中国伤残医学》2025年第5期1-3,16,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨股骨颈动力交叉钉系统与空心加压螺钉对股骨颈骨折患者的临床治疗效果。方法:回顾性分析2022年7月—2024年1月首钢水钢医院收治的60例股骨颈骨折患者资料,全部患者均已于本院接受手术治疗,并处于随访期。按照手术方式的不同分将其为对照组和研究组,各30例。对照组采用空心加压螺钉手术治疗,研究组采用股骨颈动力交叉钉系统手术治疗,对全部患者进行为期9个月的随访。比较两组手术指标、术后临床指标、并发症发生情况及髋关节功能。结果:研究组手术时间短于对照组,术中透视次数少于对照组,差异均有统计学意义(P<0.05);两组术中出血量比较,差异无统计学意义(P>0.05)。相较于对照组,研究组术后2d的疼痛视觉模拟评分更低,骨折愈合时间更短,差异均有统计学意义(P<0.05),两组住院时间、术后1周的Garden指数比较,差异均无统计学意义(P>0.05)。研究组并发症发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05)。术后6、9个月,研究组Harris髋关节功能评分量表评分高于对照组,差异均有统计学意义(P<0.05)。结论:股骨颈动力交叉钉系统在股骨颈骨折患者治疗中能够缩短手术时间,减少透视次数,减轻术后疼痛程度,加速患者骨折愈合时间,能更好地改善患者髋关节功能,且具备较高的治疗安全性。Objective:To investigate the clinical effect of femoral neek dynamic cross screw system and hollow compression screw in pationts with femoral neck fracture.Methods:Data of sixty patients with femoral neck fracture admitted to Shougang Shuigang Hospital from July 2022 to Januroy 2024 were retrospectively analyzed.All patients had received surgical treatment in our hospital and were in the follow-up period.According to different surgical methods,they were divided into a control group and a study group,with 30 cases each.The control group was treated with hollow compression screw,and the study group was treated with femoral neck dynamic cross screw system.All patients were followed up for 9 months.The operative indexes,postoperative clinical indexes,the occurrence of complications and hip function were compared between the two groups.Results:The operation time of the study group was shorter than that of the control group,and the intraoperative fluoroscopy times were less than that of the control group,the differences were statistically significant(P<0.05),there was no significant difference in intraoperative blood loss between the two groups(P>0.05).Two days after surgery,compared with the control group,the Pain Visual Analogue Score of the study group was lower and the fracture henling time was shorter,the differences were statistically significant(P<0.05),there were no statistically significant differences in the length of hospital stay and Garden index 1 week after surgery between the two groups(P>0.05).The complication rate of the study group was 2.50%,which was lower than 20.00%of the control group,the difference was statistically significant(P<0.05).Six and nine months after surgery,the Harris Hip Scale score of the study group was higher than that of the control group,with statistical significance(P<0.05).Conclusion:Femoral neck dynamic cross screw system can shorten the operation time,reduce the number of fluoroscopy,reduce postoperative pain degree,accelerate the fracture healing time of patients,better imp

关 键 词：股骨颈骨折 股骨颈动力交叉钉系统 空心加压螺钉 

分 类 号：R683[医药卫生—骨科学]