CAJ | 학술논문

背景：股骨骨折容易导致患者的血管、神经受到损伤，若处理不当很可能造成患者的肢体残废，对股骨下段骨折合并膝关节损伤患者于早期采用血管神经修复可能对患者的治疗产生积极影响。目的：对比分析股骨下段骨折合并膝关节损伤早期血管神经修复的临床效果。方法：选取80例股骨下段骨折合并膝关节损伤患者，按血管神经修复时的受伤时间分为对照组(受伤时间>8 h至48 h)和观察组(受伤时间≤8 h)，各40例。分析两组患者的截肢率和未截肢患者股骨及膝关节韧带愈合的时间，并用Lysholm膝关节评分表对两组患者中未截肢患者的膝关节功能进行评分。结果与结论：对照组的截肢率为22%，而观察组为5%，观察组的截肢率明显低于对照组(P <0.05)。观察组未截肢患者股骨以及韧带愈合的时间明显少于对照组(P <0.05)。观察组未截肢患者Lysholm膝关节功能评分的优良率显著高于对照组(P <0.05)。结果表明股骨下段骨折合并膝关节损伤患者在明确诊断后，应尽早进行血管神经修复。
배경：고골골절용역도치환자적혈관、신경수도손상，약처리불당흔가능조성환자적지체잔폐，대고골하단골절합병슬관절손상환자우조기채용혈관신경수복가능대환자적치료산생적겁영향。목적：대비분석고골하단골절합병슬관절손상조기혈관신경수복적림상효과。방법：선취80례고골하단골절합병슬관절손상환자，안혈관신경수복시적수상시간분위대조조(수상시간>8 h지48 h)화관찰조(수상시간≤8 h)，각40례。분석량조환자적절지솔화미절지환자고골급슬관절인대유합적시간，병용Lysholm슬관절평분표대량조환자중미절지환자적슬관절공능진행평분。결과여결론：대조조적절지솔위22%，이관찰조위5%，관찰조적절지솔명현저우대조조(P <0.05)。관찰조미절지환자고골이급인대유합적시간명현소우대조조(P <0.05)。관찰조미절지환자Lysholm슬관절공능평분적우량솔현저고우대조조(P <0.05)。결과표명고골하단골절합병슬관절손상환자재명학진단후，응진조진행혈관신경수복。
BACKGROUND:Femoral fractures easily cause damages to patient’s blood vessels and nerves. If there is no proper treatment, it is easy to result in physical disabilities in patients. Early neurovascular repair may have a positive impact on the patients. OBJECTIVE: To compare and analyze the clinical effects of early neurovascular repair on femoral fractures combined with knee joint injuries. METHODS: Eighty patients with femoral fractures combined with knee joint injuries were selected and equaly divided into control group (the injury time was > 8 hours but≤ 48 hours) and observation group (the injury time≤ 8 hours) prior to early neurovascular repair. Amputation rate and the time of femur and knee ligament healing in patients with no amputation were analyzed in the two groups, and Lysholm scores were measured to assess the knee function of patients without amputation in the two groups. RESULTS AND CONCLUSION: The amputation rate was 22% in the control group and 5% in the observation group, and there was a significant difference between the two groups (P < 0.05). The time of femoral and ligament healing in the observation group was significantly lower than that in the control group (P < 0.05). Lysholm scores were also better in the observation group than the control group (P < 0.05). These findings indicate that early neurovascular repair is preferred for patients with confirmed femoral fractures combined with knee joint injuries as soon as possible.