股骨近端空心钉锁定钢板和空心钉微创治疗股骨颈骨折疗效分析

发布时间：2019-03-22 20:27

【摘要】：目的探讨股骨远端空心钉锁定钢板和空心钉微创治疗股骨颈骨折疗效分析。方法在我院骨科收治的股骨颈骨折患者中选出126例作为本次研究的对象,将其随机分成甲组与乙组,甲组患者采用股骨近端空心钉锁定钢板治疗,乙组患者采用空心钉微创治疗,对比分析两组的治疗效果。结果两组患者的术中出血量、住院时间、骨折愈合时间指标对比差异不明显(P0.05);而甲组患者术中出血量多于乙组,术后1年的Harris评分明显高于乙组,且并发症发生率低于乙组(P0.05)。结论在股骨颈骨折手术治疗中,股骨近端空心钉锁定钢板与空心钉微创治疗均是有效的治疗方法,但是前者的术后并发症少,且患者的髋关节功能恢复情况较好,但是手术难度较大,临床上应结合患者的病情、意愿等合理选择术式。
[Abstract]:Objective to evaluate the therapeutic effect of distal femoral nail locking plate and hollow nail in the treatment of femoral neck fracture. Methods 126 patients with femoral neck fracture in our department of orthopedics were randomly divided into two groups: group A and group B. the patients in group A were treated with proximal femoral nail locking plate, and the patients in group A were divided into two groups: group A and group B, the patients in group A were treated with proximal femoral nail locking plate. The patients in group B were treated with minimally invasive hollow nail, and the therapeutic effects of the two groups were compared and analyzed. Results there was no significant difference in intraoperative bleeding volume, hospitalization time and fracture healing time between the two groups (P0.05). The bleeding volume in group A was more than that in group B, and the Harris score at one year after operation was significantly higher than that in group B, and the incidence of complications was lower in group A than in group B (P0.05). Conclusion in the surgical treatment of femoral neck fracture, the locking plate of proximal femoral nail and the minimally invasive treatment of hollow nail are effective methods, but the former has few postoperative complications, and the hip joint function recovery of the patients is better. However, the operation is difficult and reasonable choice should be made according to the patient's condition, intention and so on.
【作者单位】：东莞市企石医院骨外科;中山大学附属第一医院骨关节外科;
【分类号】：R687.3

【相似文献】