摘要
目的:观察髋关节外科脱位入路治疗PipkinⅣ型股骨头骨折临床疗效。方法:笔者所在医院2019年2月-2020年2月收治的82例PipkinⅣ型股骨头骨折患者为本次研究对象,按照手术入路不同将患者分为对照组(41例:Kocher-Langenbeck后侧入路)与试验组(41例:外科脱位入路),比较两组患者治疗效果。结果:试验组手术时间(143.23±14.32)min,比对照组的(175.65±14.37)min短,术中出血量(434.34±22.33)ml,比对照组的(553.23±22.38)ml少,住院时间(6.54±0.12)d,比对照组的(8.87±0.11)d短,数据差异有统计学意义(P<0.05)。试验组患者术后并发症发生率(2.40%)显著低于对照组(17.07%),数据差异有统计学意义(P<0.05)。试验组患者术后3个月随访显示髋关节功能恢复优良率(85.37%)显著高于对照组(65.85%),组间数据差异有统计学意义(P<0.05)。结论:PipkinⅣ型股骨头骨折患者外科脱位入路治疗效果明显优于Kocher-Langenbeck后侧入路治疗效果。
Objective:To observe the clinical effect of hip joint surgical dislocation in the treatment of Pipkin typeⅣ femoral head fracture.Method:A total of 82 patients with Pipkin typeⅣ femoral head fracture in our hospital from February 2019 to February 2020 were divided into control group (42 cases,Kocher-Langenbeck posterior approach) and experimental group (42 cases,surgical dislocation approach) according to different surgical approaches.Result:The average operation time of the experimental group (143.23±14.32) min was shorter than (175.65±14.37) min of the control group,the average intraoperative blood loss (434.34±22.33) ml was less than (553.23±22.38) ml of the control group,the average hospitalization time (6.54±0.12) d was shorter than (8.87±0.11) d of the control group,the data differences were significant (P<0.05).The incidence of postoperative complications in the experimental group 2.40% was significantly lower than 17.07% in the control group,the difference was significant (P<0.05).The excellent and good rate of hip joint function recovery in experimental group (85.37%) was significantly higher than 61.95% in control group,the difference was significant (P<0.05).Conclusion:Surgical dislocation approach is better than Kocher-Langenbeck posterior approach in the treatment of Pipkin typeⅣ femoral head fracture.
作者
谢永松
XIE Yongsong(Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,China)
出处
《中外医学研究》
2021年第9期49-51,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
