摘要
目的对比两种小切口髋关节置换术治疗股骨颈骨折(Femoral Neck Fracture,FNF)临床效果。方法回顾性分析我院骨科2018年1月至2019年1月收治的67例FNF患者临床资料,将采用后路小切口髋关节置换术(Posterior Mini Incision Hip Arthroplasty,PMIHR)治疗的患者归为观察组34例,将采用外侧小切口髋关节置换术(Total Hip Arthroplasty,THA)治疗的患者归为对照组33例。对比两组手术相关指标与术前、术后3个月髋关节功能、疼痛程度以及并发症发生情况。结果观察组手术出血量(显性出血)与术后引流量较对照组少,差异有统计学意义(P<0.05);两组术后3个月髋关节功能评分(Harris)比较、并发症发生率比较,差异均无统计学意义(P>0.05);术后1 d,两组AS评分对比,差异无统计学意义(P>0.05);术后4、7 d,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。结论 FNF患者采用PMIHR与外侧小切口THA治疗均可有效改善髋关节功能,但前者术中出血量较少且术后疼痛较轻,值得临床推广。
Objective To compare the clinical effects of two small incision hip replacements for femoral neck fractures(Femoral Neck Fracture,FNF).Methods The clinical data of 67 FNF patients admitted to our hospital from January 2018 to January 2019 were retrospectively analyzed,and the patients treated with Posterior Mini Incision Hip Arthroplasty(PMIHR)were classified as observation In the group(34 cases),patients treated with lateral small incision hip arthroplasty(Total Hip Arthroplasty,THA)were classified as the control group(33 cases).The operation-related indicators of the two groups were compared with hip function,pain degree and complications before and 3 months after operation.Results The operation bleeding volume(dominant bleeding)and postoperative drainage volume of the observation group were less than those of the control group,the difference was statistically significant(P<0.05);there was no statistically significant difference in Harris score and complication rate of the two groups at 3 months after operation(P>0.05);there was no statistically significant difference in as score of the two groups at 1 day after operation(P>0.05);at 4 and7 days after operation,there was no statistically significant difference between the two groups The VAS score of the treatment group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Both PMIHR and small lateral incision THA in FNF patients can effectively improve hip joint function,but the former has less intraoperative blood loss and less postoperative pain,which is worthy of clinical promotion.
作者
于晓勇
YU Xiao-yong(Department of Orthopedics,Puyang Oilfield General Hospital 457000 China)
出处
《内蒙古医学杂志》
2021年第6期683-685,689,共4页
Inner Mongolia Medical Journal
