摘要
[目的]探讨影响髋部骨折疗效的相关危险因素,为提高疗效提供理论依据.[方法]总结1999年3月～2003年10月收治的316例髋部骨折病例.统计对疗效可能的影响因素,进行单因素分析并行多因素Logistic回归分析,判定影响髋部骨折疗效的影响因素.[结果]术后随访12～42个月,平均18.6个月.采用Sanders髋关节创伤后的功能评分系统评估疗效,保守治疗组优良率45.8%,手术组优良率88.1%.治疗方法、年龄、手术时机、复位质量、体质状况及术后康复是影响髋部骨折预后的独立危险因素.[结论]在治疗髋部骨折时要充分认识到这些独立因素对疗效的影响,这对减低并发症,提高髋部骨折疗效有一定意义.
[ Objective]To analyze prognostic relative factors affecting the treatment outcome of hip fractures so as to establish the theoretic basis for a further improvement of curative effect. [ Method] A total of 316 patients with hip fractures admitted from march 1999 to October 2003 were reviewed. All the predictive risk factors were investigated, the data was dealt with x2 test and multivariate Logistic regression analysis . [ Result] The average period of follow -up was 18.6 months （ranged from 12 to 42months）. According to Sanders criterion, the overall satisfactory rate of joint funtion was 45.8% in nonoperation, while 88. 1% in operation ; the age, therapeutic measures, reduction status, the tinning of surgery, health status and postoperative healing were the significant independent predictors. [ Conclusion ] The significant independent predictors would be emphasized, they are essential to prevent complications and may improve curative outcome.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第24期1858-1860,共3页
Orthopedic Journal of China
关键词
股骨骨折
髋部
预后
因素分析
femoral fracture
hip
prognosis
factor analysis
