空心加压螺钉治疗不同年龄段股骨颈骨折患者的疗效及对功能恢复的影响

发布时间：2018-04-05 16:14

本文选题：空心加压螺钉　切入点：股骨颈骨折　出处：《中国老年学杂志》2017年08期

【摘要】：目的分析空心加压螺钉对不同年龄段股骨颈骨折患者的疗效及功能恢复的影响。方法回顾性分析空心加压螺钉手术的股骨颈骨折患者165例的临床资料,按照年龄分为青少年组38例、青壮年组78例及老年组49例,对3组股骨颈骨折类型、术后骨折的不愈合情况、股骨头缺血性坏死发生率及患侧髋关节功能评分(Harris)进行比较。结果青少年组、青壮年组和老年组术后骨折不愈合率分别为15.79%、14.10%、10.20%,差异无统计学意义(P0.05)。股骨头缺血性坏死发生率分别为青少年组55.26%,青壮年组34.62%,老年组32.65%,差异无统计学意义(P0.05)。术后患侧Harris优良率青少年组为81.58%,青壮年组85.90%,老年组81.64%,3组疗效均较良好,功能评分差异无统计学意义(P0.05)。结论空心加压螺钉治疗不同年龄段股骨颈骨折临床疗效及功能恢复无显著差异。
[Abstract]:Objective to analyze the effect of hollow compression screw on femoral neck fracture in different ages.Methods the clinical data of 165 cases of femoral neck fracture treated by hollow compression screw operation were retrospectively analyzed. According to the age, the patients were divided into three groups: adolescent group (n = 38), young and adult group (n = 78) and elderly group (n = 49).The nonunion of fracture, the incidence of avascular necrosis of femoral head and hip function score were compared.Results the nonunion rate of postoperative fracture in the adolescent group, the young group and the elderly group was 15.79 ~ 14.10 and 10.20, respectively. The difference was not statistically significant (P 0.05).The incidence of avascular necrosis of the femoral head was 55.26 in the adolescent group, 34.622in the young group and 32.65 in the elderly group. The difference was not statistically significant (P 0.05).The excellent and good rate of Harris in the affected side was 81.58 in the adolescent group, 85.90 in the young group and 81.64 in the elderly group. There was no significant difference in functional score between the three groups (P 0.05).Conclusion there is no significant difference in the clinical efficacy and functional recovery of hollow compression screws in the treatment of femoral neck fractures in different ages.
【作者单位】：连云港第一医院创伤骨科;
【分类号】：R687.3

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