摘要
目的分析创伤性股骨颈骨折患者术后股骨头坏死的危险因素,并探讨闭合复位空心钉内固定的治疗效果。方法回顾性分析150例创伤性股骨颈骨折术后患者的相关资料,对其年龄、性别、基础病、骨折移位、复位质量等因素进行单因素和多因素分析。结果单因素分析结果表明,2组年龄、骨折移位以及复位质量差异有统计学意义(P<0.05)。Logistic多因素回归分析表明,年龄≥60岁、骨折明显移位、复位质量不良为股骨头坏死的独立危险因素。结论术前应该对患者年龄、骨折复位以及复位质量等情况进行充分评估,并对高危因素患者采取相应处理措施,以提高手术成功率。
Objective To analyze the risk factors of femoral head necrosis in patients with traumatic femoral neck fractures,and to explore the effect of internal fixation of closed reduction hollow nails.Methods A retrospective analysis of clinical data of 150 patients with traumatic femoral neck fractures treated in our hospital was performed,and the relevant factors including their age,gender,basic disease,fracture displacement,and quality of resetting were performed by single-factor and multi-factor analysis.Results Single-factor analysis showed that age,fracture displacement,and quality of resetting were independent risk factors for femoral head necrosis(P<0.05),while the rest of factors showed no significant differences(P>0.05).Logistic multivariate regression analysis showed that 60 years of age and above,obvious displacement of fracture,and poor quality of resetting were independent risk factors for femoral head necrosis.Conclusion Patients′age,fracture reduction,and quality of resetting should be fully evaluated before surgery,and patients with high risk factors should be treated accordingly to improve the success rate of surgery.
作者
冯学武
石磊军
FENG Xuewu;SHI Leijun(Department of Bone Surgery,Baota District People′s Hospital,Yan′an,Shaanxi,716000;Department of Bone Surgery,Tongchuan City People′s Hospital of Shaanxi Province,Tongchuan,Shaanxi,727000)
出处
《实用临床医药杂志》
CAS
2020年第13期68-70,74,共4页
Journal of Clinical Medicine in Practice
