摘要
[目的]探讨比较髋关节前方横切口与S-P切口治疗股骨头PipkinⅠ型、Ⅱ型骨折的治疗方法与愈后.[方法]回顾性分析采用髋关节前方横切口与S-P切口治疗股骨头PipkinⅠ型、Ⅱ型骨折42例患者的临床资料.其中前方横切口入路行切开复位,可吸收螺丝钉内固定治疗19例（A组）,S-P切口入路切开复位,可吸收螺丝钉内固定治疗23例（B组）.对两组手术入路患者术中情况,术后功能及术后并发症等情况进行比较.[结果]两组的切口长度分别为（9.3±1.6）、（16.6±1.7）cm.手术时间分别为（60.7±10.6）、（85.4±13.1）min,出血量分别为（100.5±43）、（373.9±96）mL,两组间比较差异均有统计学意义（P〈0.01）.患髋功能评定采用Harris评分法：A组为（85.5±5.3）分,B组为（83.2±6.6）分,差异有统计学意义（P〈0.01）.A组发生并发症2例,B组5例,差异无统计学意义（P〉0.05）.两组影像学愈合时间：A组（14.0±1.4）周,B组（14.7±1.1）周,差异无统计学意义（P〉0.05）.[结论]对于股骨头PipkinⅠ型、Ⅱ型骨折手术治疗,髋关节前方横切口入路具有切口短,出血少,手术时间短,髋关节功能恢复好等优势,具有临床应用价值.
[Objective] To compare the effect and prognosis of hip joint anterior transverse incision vs SP incision for the treatment of Pipkin Ⅰ-type and Ⅱ type fractures of femoral head. [Methods]The clinical data of 42 cases of Pipkin Ⅰ- type and Ⅱ-type fractures of femoral head treated with hip joint anterior transverse incision or S-P incision were analyzed retrospectively. Open reduction via anterior transverse incision approach and absorbable screw internal fixation was performed for 19 patients（group A）. Open reduction via S-P incision approach and absorbable screw internal fixation was performed for 23 patients（group B）. The intraoperative condition, postoperative function and complications were compared between two groups. [Results] The average length of incision in group A and group B were （9.3±1.6）cm and （16. 6±1. 7）cm, respectively. The mean operative time were （60. 7±10. 6）min and （85.4 ± 13. ]）rain, respectively. The bleeding volume were （100. 5±43）mL and （373.9±96）mL, respectively. There was statistical significance between two groups（ P〈0.01）. Harris hip score method was used to evaluate the hip function of patients. The scores of group A were 85.5 ± 5.3, while the scores of group B were 83.2±6.6, and there was statistical significance（P〈0.01）. Only 2 patients in group A had complications, while 5 patients in group B had complications, but there was no statistical significance（ P〈0.05）. Radiographic healing time in group A and group B were （14.0 ±1.4） and （14.7±1.1） weeks, respectively, but there was no statistical significance（ P〈0.05）. [Conclusion] The operation via hip joint anterior transverse incision approach for the treatment of Pipkin Ⅰ-type and Ⅱ-type fractures of femoral head has advantages such as shorter length of incision, less bleeding, shorter operation time and better functional recovery, so it has clinical application value.
出处
《医学临床研究》
CAS
2011年第2期287-289,共3页
Journal of Clinical Research
