摘要
目的:探讨与髋臼骨折手术后疗效相关的临床因素。方法:回顾性分析我院2004年1月至2011年6月经手术治疗的髋臼骨折患者166例,根据Merled’Aubigne-Postel髋臼骨折功能评级,优良组123例,可差组43例。采用条件Logistic回归模型分析可能影响术后髋关节功能的因素。结果:单因素分析显示骨折类型(χ2=5.13,P=0.02)、关节腔内游离骨块(χ2=8.31,P=0.00)、手术时机(χ2=15.93,P=0.00)、骨折复位(χ2=17.28,P=0.00)和股骨头软骨缺损(χ2=14.58,P=0.00)与术后功能有关;条件Lotistic回归分析显示手术时机大于2周(OR=3.31,P=0.04)、骨折非解剖复位(OR=3.14,P=0.02)为影响髋臼骨折术后功能不良的独立危险因素。结论:髋臼骨折患者应争取早期(2周内)手术治疗,术中尽量达到解剖复位,以免影响术后髋关节功能。
Objective： To evaluate the clinical factors associated with operative effects in patients with acetabular fracture.Methods： We retrospectively analyzed 166 patients with acetabular fracture from Jan 2004 to Jun 2011 in our hospital,and 123 cases had improved results and 43 cases had no improvement or got worse according to Merled＇ Aubigne-Postel classification.The potential risk factors associated with operative effects on acetabular fracture were evaluated by the method of Logistic regression.Results： The single factor analysis showed that the type of fracture（χ2=5.13,P=0.02）,the intra-articular free bone（χ2=8.31,P=0.00）,the time before surgery（χ2=15.93,P=0.00）,reduction of fracture（χ2=17.28,P=0.00）,and femoral cartilage defect（χ2=14.58,P=0.00） had correlation with operative effects in patients with acetabular fracture.Multivariate conditional logistic regression analysis showed that time before surgery more than two weeks（OR=3.31,P=0.04）,and fracture without reduction（OR=3.14,P=0.02） were independent risk factors of operative effects in acetabular fracture.Conclusion： Patients with acetabular fracture should receive operation within two weeks,and the reduction should be made as far as possible so as not to affect the post operative hip joint function.
出处
《武汉大学学报（医学版）》
CAS
北大核心
2012年第4期563-566,共4页
Medical Journal of Wuhan University
