带血管髂骨瓣与股方肌骨瓣治疗青壮年股骨颈骨折的早期疗效比较
《创伤外科杂志》[ISSN:/CN:]
- 期数:
- 2020年09期
- 页码:
- 665-669
- 栏目:
- 论著（临床研究）
- 出版日期:
- 2020-09-20
文章信息/Info
- Title:
- Preliminary clinical efficacy of the iliac bone flap and quadratus femoris bone flap transplantation for the treatment of femoral neck fracture of young and middle aged patients
- Author(s):
- NIE Zu-liang; HU Feng; WANG Ya-ming; LI Jin-quan; XU Kai-jun
- Department of Orthopaedics,Hospital of Integrated Traditional Chinese and Western Medicine of Anhui Province,Hefei 230061,China
- 分类号:
- R 683.42
- DOI:
- 10.3969j.issn.1009-4237.2020.09.006
- 文献标识码:
- A
- 摘要:
- 目的 比较带血管髂骨瓣与股方肌骨瓣治疗青壮年股骨颈骨折的早期疗效差异。方法 回顾性对照研究2015年6月—2018年12月安徽省中西医结合医院骨伤科收治的股骨颈骨折患者35例,男性24例,女性11例; 年龄18～53岁,平均37.2岁。按照手术方法不同分为髂骨瓣组(19例)和股方肌骨瓣组(16例)。髂骨瓣组行带血管髂骨瓣联合钢板内固定治疗,股方肌骨瓣组行股方肌骨瓣联合钢板内固定治疗。比较两种手术方式手术情况(手术时间、术中出血量)及随访情况(骨折愈合时间、骨折不愈合、股骨头坏死、髋关节评分)的差异。结果 股方肌骨瓣组手术时间短于髂骨瓣组[(85.8±2.8)min vs.(134.5±3.6)min],但术中出血量多于髂骨瓣组[(243.1±7.1)mL vs.(162.4±6.7)mL],差异有统计学意义(P<0.05); 两组患者随访12～48个月,平均18.2个月。髂骨瓣组骨折平均愈合时间(227.9±3.0)d,Harris评分(88.6±0.9)分,骨折不愈合率5.26%(1/19),股骨头坏死率10.52%(2/19); 股方肌骨瓣组骨折平均愈合时间(174.7±2.3)d,Harris评分(89.6±0.9)分,骨折不愈合率6.25%(1/16),股骨头坏死率12.50%(2/16); 两组患者骨折愈合时间差异有统计学意义(P<0.05),两组患者骨折不愈合发生率、股骨头缺血性坏死率及髋关节功能评分比较差异均无统计学意义(P>0.05)。结论 股方肌骨瓣治疗青壮年股骨颈骨折手术时间及骨折愈合时间较短,操作相对简单,但术中出血较多。
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备注/Memo
- 备注/Memo:
- 【通信作者】 胡沣,E-mail:fj105yy@163.com
