摘要
目的研究空心钉治疗股骨颈骨折的临床效果,分析手术时机对术后功能恢复的影响,选取有效的治疗方法。方法选取42例空心钉治疗的股骨颈骨折患者,随机分为急诊手术组18例和择期手术组24例。比较两组患者的年龄、骨折分型、并发症及术后3、6、12个月骨折愈合情况和髋关节功能,进行统计学分析。结果两组患者在年龄、骨折分型及并发症上不存在差别,急诊手术组于术后3个月时在骨折愈合程度上占优势,术后3、6个月时在髋关节功能改善上占优势,其余时间段两组均无明显差别。结论急诊手术组早期髋关节功能恢复及骨折愈合情况比择期手术组更有优势,急诊手术可改善早期功能恢复,但对最终恢复情况并无影响。
Objective To research the clinical effect evaluation of surgery for femoral neck fracture with cancellous screws, analyze the timing for surgery, and choose a suitable method. Methods All 42 patients with femoral neck fracture treated by cancellous screws, were randomly divided into emergency surgery group with 18 patients and elective surgery group with 24 patients. Compared the difference of two groups with age, fracture classification, postoperative complications, function of hip joint and fracture healing after 3, 6, 12 months for statistical analysis. Results Two groups had no significant difference for age, fracture classification and postoperative complications. Emergency surgery group was superior to elective surgery group in fracture healing at 3 months but also function of hip joint after 3 and 6 months after operation. At the other time, they had no significant difference. Conclusion Emergency surgery groups were superior to elective surgery group in early hip joint function improvement and fracture healing, emergency surgery greatly improved the early recovery, however, had no effect on the final healing of femoral neck fracture.
出处
《中国现代医生》
2013年第3期135-137,139,共4页
China Modern Doctor
基金
浙江省医药卫生一般研究计划(2012KYA173)
关键词
股骨颈骨折
空心钉治疗
急诊手术
择期手术
Femoral neck fracture
Cancellous screw
Emergency surgery
Elective surgery
