CAJ | 학술논문

目的观察空心加压螺纹钉联合高压氧治疗青年股骨颈骨折的疗效.方法 56例青年股骨颈骨折患者,35例给予空心加压螺纹钉手术后联合高压氧治疗(高压氧组),21例仅用空心加压螺钉内固定手术,不进行高压氧治疗(手术组),对2组近、中、远期疗效和并发症进行比较.结果 2组近期疗效、并发症差异无统计学意义(P>0.05),高压氧组中、远期疗效及减少术后并发症方面优于手术组,2组差异有统计学意义(P<0.05).结论闭合复位、小切口空心加压螺钉内固定联合高压氧治疗青年股骨颈骨折在中、远期疗效,减少股骨头坏死及髋关节疼痛等并发症方面有很好的疗效.
목적 관찰공심가압라문정연합고압양치료청년고골경골절적료효.방법 56례청년고골경골절환자,35례급여공심가압라문정수술후연합고압양치료(고압양조),21례부용공심가압라정내고정수술,불진행고압양치료(수술조),대2조근、중、원기료효화병발증진행비교.결과 2조근기료효、병발증차이무통계학의의(P>0.05),고압양조중、원기료효급감소술후병발증방면우우수술조,2조차이유통계학의의(P<0.05).결론 폐합복위、소절구공심가압라정내고정연합고압양치료청년고골경골절재중、원기료효,감소고골두배사급관관절동통등병발증방면유흔호적료효.
Objective To observe therapeutic effects of hollow compressive screws coupled with HBO on femoral neck fracture in young patients. Methods Fifty-six cases of young aduhs with femoral neck fracture were selected for the study. Of all the cases, 35 were treated with hollow compressive screws coupled with HBO (the HBO group), 21 cases were treated only with hollow compressive screws for fixture, without HBO therapy (the surgical group). Then, comparisons were made between the 2 groups for short, mid and long term effects and complications as well. Results No significant differences could be seen in near-term therapeutic effects and complications in both groups (P>0.05). However, regarding mid and long term effects and complications occurred after surgery, the HBO group is obviously superior to those of the surgical group. Statistical significances were noted between the 2 groups (P<0.05). Conclusions Closed replacement, hollow compressive screw fixture coupled with HBO seem to produce good mid and long term therapeutic effects on femoral neck fracture and on the reduction of occurrence in bone necrosis, as well as complications occurred in young patients.