中国卫生产业
中國衛生產業
중국위생산업
CHINA HEALTH INDUSTRY
2014年
16期
48-50
,共3页
后关节囊%外旋肌群%重建%全髋关节置换术%股骨颈骨折
後關節囊%外鏇肌群%重建%全髖關節置換術%股骨頸骨摺
후관절낭%외선기군%중건%전관관절치환술%고골경골절
Posterior arthrosis cpsule%External rotator muscle%Reconstruction%Total hip replacement%Femoral neck fractures
目的：探讨重建后关节囊及外旋肌群人工全髋关节置换术在股骨颈骨折中的临床疗效。方法选择我院2012年3月-2013年3月收治的股骨颈骨折的患者40例，根据手术方式不同随机分为两组，每组20例：A 组采取重建后关节囊及外旋肌群人工全髋关节置换术；B组采取传统经后侧入路行髋关节置换术（仅修补外旋肌群）。比较两组患者手术切口长度、手术时间、术中出血量、术后引流量、术后住院天数；术后半年感染、血肿、神经损伤、关节后脱位、深静脉血栓等并发症和Harris髋关节评分。结果①A组的术中出血量（219.1±37.3）mL和术后引流量(112.5±44.6）mL均比B组(345.2±41.6）mL、（218.6±52.6）mL明显降低（P<0.05）；两组手术切口长度、手术时间、术后住院时间比较无显著差异（P>0.05）。②A组患者术后半年 Harris髋关节评分的优良率（95%）与B组优良率（85%）比较均无明显差异（P>0.05）；③A组的术后半年内关节后脱位、感染、血肿发生率均比B组明显降低（P<0.05）；两组术后神经损伤和深静脉血栓比较均无显著差异（P>0.05）。结论采用重建后关节囊及外旋肌群人工全髋关节置换术手术疗效确切，且可有效预防术后脱位、出血、感染，值得临床上大力推广。
目的：探討重建後關節囊及外鏇肌群人工全髖關節置換術在股骨頸骨摺中的臨床療效。方法選擇我院2012年3月-2013年3月收治的股骨頸骨摺的患者40例，根據手術方式不同隨機分為兩組，每組20例：A 組採取重建後關節囊及外鏇肌群人工全髖關節置換術；B組採取傳統經後側入路行髖關節置換術（僅脩補外鏇肌群）。比較兩組患者手術切口長度、手術時間、術中齣血量、術後引流量、術後住院天數；術後半年感染、血腫、神經損傷、關節後脫位、深靜脈血栓等併髮癥和Harris髖關節評分。結果①A組的術中齣血量（219.1±37.3）mL和術後引流量(112.5±44.6）mL均比B組(345.2±41.6）mL、（218.6±52.6）mL明顯降低（P<0.05）；兩組手術切口長度、手術時間、術後住院時間比較無顯著差異（P>0.05）。②A組患者術後半年 Harris髖關節評分的優良率（95%）與B組優良率（85%）比較均無明顯差異（P>0.05）；③A組的術後半年內關節後脫位、感染、血腫髮生率均比B組明顯降低（P<0.05）；兩組術後神經損傷和深靜脈血栓比較均無顯著差異（P>0.05）。結論採用重建後關節囊及外鏇肌群人工全髖關節置換術手術療效確切，且可有效預防術後脫位、齣血、感染，值得臨床上大力推廣。
목적：탐토중건후관절낭급외선기군인공전관관절치환술재고골경골절중적림상료효。방법선택아원2012년3월-2013년3월수치적고골경골절적환자40례，근거수술방식불동수궤분위량조，매조20례：A 조채취중건후관절낭급외선기군인공전관관절치환술；B조채취전통경후측입로행관관절치환술（부수보외선기군）。비교량조환자수술절구장도、수술시간、술중출혈량、술후인류량、술후주원천수；술후반년감염、혈종、신경손상、관절후탈위、심정맥혈전등병발증화Harris관관절평분。결과①A조적술중출혈량（219.1±37.3）mL화술후인류량(112.5±44.6）mL균비B조(345.2±41.6）mL、（218.6±52.6）mL명현강저（P<0.05）；량조수술절구장도、수술시간、술후주원시간비교무현저차이（P>0.05）。②A조환자술후반년 Harris관관절평분적우량솔（95%）여B조우량솔（85%）비교균무명현차이（P>0.05）；③A조적술후반년내관절후탈위、감염、혈종발생솔균비B조명현강저（P<0.05）；량조술후신경손상화심정맥혈전비교균무현저차이（P>0.05）。결론채용중건후관절낭급외선기군인공전관관절치환술수술료효학절，차가유효예방술후탈위、출혈、감염，치득림상상대력추엄。
Objective To explore the therapeutic effect of total hip replacement with Posterior arthrosis cpsule reconstruction and Short external rotator muscle repair on Femoral neck fractures. Methods Fourty patients with Femoral neck fractures. were select-ed and divided into two groups with 20 cases in each groups. A group was given the treatment of total hip replacement with Poste-rior arthrosis cpsule reconstruction and external rotator muscle repair whiIe B group was given the treatment of traditional total hip replacement only with external rotator muscle repair. The operation incision length, operation time, intraoperative bleeding volume, postoperative drainage volume and hospital stay were all recorded. And postoperative complication in 6 months of two groups in-cluding infection, hematoma, nerve injury, joint dislocation, deep vein thrombosis and Harris hip score were observed and com-pared. Results ①The intraoperative bleeding volume and postoperative drainage volume in A group were less than those in A group (P<0.05);There were no significant difference of length of interbody fusion, operation time and hospital stay between the two groups (P>0.05). ②There was no significant difference of Harris hip score at 6 months after surgery between the two groups (95%VS 85%, P>0.05). ③There were lower incidence of postoperative infection, hematoma and joint dislocation in group A than those in group B (P<0.05).No significant difference of postoperative nerve injury and deep vein thrombosis were found between the two groups(P>0.05). Conclusion The therapeutic effect of total hip replacement with Posterior arthrosis cpsule reconstruction and Short external rotator muscle repair on Femoral neck fractures is obvious were less postoperative infection, hematoma and joint disloca-tion, which is worthy of clinical application.
