中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
28期
66-68,72
,共4页
郑凌云%邓秋平%田华强%方良韬
鄭凌雲%鄧鞦平%田華彊%方良韜
정릉운%산추평%전화강%방량도
带缝匠肌骨瓣移植%空心钉内固定%青少年%股骨颈骨折
帶縫匠肌骨瓣移植%空心釘內固定%青少年%股骨頸骨摺
대봉장기골판이식%공심정내고정%청소년%고골경골절
Sartorial-pedicled ilium bone transplantation%Hollow screw fixation%Youngsters%Transcervical fracture
目的:分析带缝匠肌骨瓣移植联合空心钉内固定对青少年股骨颈骨折的治疗效果。方法选取本院2012年7月~2014年6月收治的80例青少年股骨颈骨折患者,按随机数字表法分成研究组和对照组,各40例。研究组采用带缝匠肌骨瓣移植术联合空心钉内固定术进行治疗;对照组单纯采用空心螺钉内固定术进行治疗。比较两组手术时间、术中出血量、住院时间、股骨头缺血性坏死发生率、骨折愈合时间、临床疗效及治疗前、后生活质量。结果研究组手术时间长于对照组(P<0.05);研究组术中出血量较对照组多(P<0.05);研究组住院时间及骨折愈合时间均较对照组短(P>0.05);研究组股骨头缺血性坏死发生率低于对照组(P<0.05);研究组临床疗效优良率高于对照组(P<0.05);两组治疗前生活质量得分比较差异无统计学意义(P>0.05);研究组治疗后生活质量得分高于对照组(P<0.05)。结论带缝匠肌骨瓣移植术联合空心钉内固定治疗青少年股骨颈骨恢复快,综合疗效好。
目的:分析帶縫匠肌骨瓣移植聯閤空心釘內固定對青少年股骨頸骨摺的治療效果。方法選取本院2012年7月~2014年6月收治的80例青少年股骨頸骨摺患者,按隨機數字錶法分成研究組和對照組,各40例。研究組採用帶縫匠肌骨瓣移植術聯閤空心釘內固定術進行治療;對照組單純採用空心螺釘內固定術進行治療。比較兩組手術時間、術中齣血量、住院時間、股骨頭缺血性壞死髮生率、骨摺愈閤時間、臨床療效及治療前、後生活質量。結果研究組手術時間長于對照組(P<0.05);研究組術中齣血量較對照組多(P<0.05);研究組住院時間及骨摺愈閤時間均較對照組短(P>0.05);研究組股骨頭缺血性壞死髮生率低于對照組(P<0.05);研究組臨床療效優良率高于對照組(P<0.05);兩組治療前生活質量得分比較差異無統計學意義(P>0.05);研究組治療後生活質量得分高于對照組(P<0.05)。結論帶縫匠肌骨瓣移植術聯閤空心釘內固定治療青少年股骨頸骨恢複快,綜閤療效好。
목적:분석대봉장기골판이식연합공심정내고정대청소년고골경골절적치료효과。방법선취본원2012년7월~2014년6월수치적80례청소년고골경골절환자,안수궤수자표법분성연구조화대조조,각40례。연구조채용대봉장기골판이식술연합공심정내고정술진행치료;대조조단순채용공심라정내고정술진행치료。비교량조수술시간、술중출혈량、주원시간、고골두결혈성배사발생솔、골절유합시간、림상료효급치료전、후생활질량。결과연구조수술시간장우대조조(P<0.05);연구조술중출혈량교대조조다(P<0.05);연구조주원시간급골절유합시간균교대조조단(P>0.05);연구조고골두결혈성배사발생솔저우대조조(P<0.05);연구조림상료효우량솔고우대조조(P<0.05);량조치료전생활질량득분비교차이무통계학의의(P>0.05);연구조치료후생활질량득분고우대조조(P<0.05)。결론대봉장기골판이식술연합공심정내고정치료청소년고골경골회복쾌,종합료효호。
Objective To analyze the effect of sartorial-pedicled ilium bone transplantation combined with hollow screw fixation treating femoral neck fracture of youngsters. Methods 80 youngsters with hollow screw fixation in our hospital from July 2012 to June 2014 were selected and divided into research group and control group randomly,each group for 40 cases.The research group was treated with sartorial-pedicled ilium bone transplantation combined with hollow screw fixation.And the control group was only treated with hollow screw fixation.The operation time,bleeding amount in operation,length of stay,incidence rate of ischemic necrosis of femoral head,fracture healing time,clinical efficacy and life quality before and after treatment between two groups were compared. Results The operation time of research group was longer than that of control group (P<0.05).The bleeding amount in operation of research group was more than that of control group (P<0.05).The length of stay and fracture healing time of research group was shorter than that of control group respectively(P<0.05).The incidence rate of ischemic necrosis of femoral head of research group was lower than that of control group (P<0.05).The excellent rate of the efficacy of research group was higher than that of control group(P<0.05).There was no evident difference for the life quality before treatment between two groups(P>0.05). The life quality score of research group after treatment was higher than that of control group (P<0.05). Conclusion Sartorial-pedicled ilium bone transplantation combined with hollow screw fixation treating femoral neck fracture of youngsters has the advantages of rapid recovery and good efficacy.