摘要
目的探讨股方肌蒂骨瓣移植与空心加压螺钉联合对股骨颈骨折患者Harris评分的影响。方法选取2008年1月-2014年1月接受治疗的82例股骨颈骨折患者，根据其病情选用不同治疗方案将患者分为观察组（41例）和对照组（41例），对照组采用空心加压螺钉治疗。观察组在对照组基础上，采用股方肌蒂骨瓣移植联合空心加压螺钉进行治疗，对比两组患者手术时间、骨折愈合率、骨折复位质量优良率及患者Harris评分。结果观察组患者手术时间短于对照组，术中出血量少于对照组，差异均有统计学意义（P〈0．05）；观察组患者骨折愈合率显著高于对照组，股骨头坏死率显著低于对照组，差异均有统计学意义（P〈0．05）；观察组患者骨折复位质量优良率显著高于对照组，差异有统计学意义（P〈0．05）；观察组患者Harris评分优良率显著高于对照组，差异有统计学意义（P〈0．05）。结论股方肌蒂骨瓣移植联合空心加压螺钉治疗股骨颈骨折患者效果显著，能有效改善患者的预后和功能，可在临床推广应用。
Objective To study the influence of femoral muscle pedicle bone graft and hollow compression screw on Harris score of patients with femoral neck fracture. Methods 82 patients with femoral neck fracture, according to a simple digital table method, were randomly divided into observation group （41 cases） and control group （41 cases）. The control group was treated with hollow compression screw. The observation group was femoral muscle pedicle bone graft. The operation time, fracture healing rate, reduction rate of good quality and Harris scores were observed. Results The operation time of observation group was shorter than that of control group and the intraoperative blood loss of observation group was less than that of the control group （P〈0.05）. The fracture healing rate of observation group was significantly higher than that of control group and the femoral head necrosis rate of observation group was significantly lower than that of control group （P〈0.05）. Harris score of observation group was significantly higher than that of control group （P〈0.05）. Conclusion Femoral muscle pedicle bone graft can effectively improve the prognosis and function of patients with femoral neck fracture.
出处
《西部医学》
2016年第8期1090-1092,1096,共4页
Medical Journal of West China
基金
国家自然科学基金(81003240)
