CAJ | 학술논문

目的研究对股骨颈骨折的患者采用带旋髂深血管髂骨瓣联合空心加压螺钉的方法进行治疗，观察其临床疗效及其安全性。方法选取在本院治疗的股骨颈骨折患者41例，均以随机方式选取，根据患者采用的治疗方式不同分为两组。对照组20例，仅采用空心加压螺钉内固定进行治疗；观察组21例，则采用带旋髂深血管髂骨瓣联合空心加压螺钉的方法进行治疗。对于患者手术前后的情况进行评分比较，并对其手术时间及术中出血量进行对比观察。结果观察组骨折治愈率为90．5％，两组对比差异有统计学意义（ P＜0．05）。患者术后采用髋关节功能Harris评分，观察组优良率为85．7％，对照组优良率为55．0％，两组比较差异有统计学意义（P＜0．05）。观察组患者所用手术时间较长，出血量较多，组间对比差异有统计学意义（P＜0．05）。结论带旋髂深血管髂骨瓣联合空心加压螺钉的方法治疗股骨颈骨折的患者，创伤小，预后好，并发症发生率较低，值得临床推广使用。
목적연구대고골경골절적환자채용대선가심혈관가골판연합공심가압라정적방법진행치료，관찰기림상료효급기안전성。방법선취재본원치료적고골경골절환자41례，균이수궤방식선취，근거환자채용적치료방식불동분위량조。대조조20례，부채용공심가압라정내고정진행치료；관찰조21례，칙채용대선가심혈관가골판연합공심가압라정적방법진행치료。대우환자수술전후적정황진행평분비교，병대기수술시간급술중출혈량진행대비관찰。결과관찰조골절치유솔위90．5％，량조대비차이유통계학의의（ P＜0．05）。환자술후채용관관절공능Harris평분，관찰조우량솔위85．7％，대조조우량솔위55．0％，량조비교차이유통계학의의（P＜0．05）。관찰조환자소용수술시간교장，출혈량교다，조간대비차이유통계학의의（P＜0．05）。결론대선가심혈관가골판연합공심가압라정적방법치료고골경골절적환자，창상소，예후호，병발증발생솔교저，치득림상추엄사용。
Objective To research and explore the clinical effect of spin iliac blood vessels deep iliac flap com-bined with hollow compression screw on femoral neck fracture .Methods 41 cases of femoral neck fracture patients were divided into control group (20 cases) ,receiving hollow compression screw internal fixation ,and observation group (21 cases) ,receiving spin iliac blood vessels deep iliac flap combined with hollow compression screw .Condi-tion of disease before and after surgery ,operative time and intraoperative blood loss were compared between the two groups .Results Fracture cure rate ,Harris score ,surgery time and blood loss of the observation group were signifi-cantly different with those in control group (P<0 .05) .Conclusion Spin iliac blood vessels deep iliac flap combined with hollow compression screws for the treatment of patients with femoral neck fracture might be with small trauma , good prognosis and low incidence of complications ,while might be with certain operation risk .