摘要
目的探讨对老年创伤性股骨颈骨折予髋关节置换术治疗时予外侧与后路小切口治疗的效果差异。方法选取2021年1月—2023年1月涟水县中医院收治的72例老年创伤性股骨颈骨折者为研究对象,按照随机数表法分为外侧小切口治疗对照组与后侧小切口治疗观察组,每组36例,比较两组患者手术及术后恢复指标,评估两组患者手术前后疼痛评分以及Harris功能评分,并对比两组并发症发生率。结果观察组切口长度(7.52±1.21)cm、出血量(225.48±50.35)mL、引流量(157.25±19.10)mL、下床时间(3.41±0.76)d、住院时间(11.05±1.64)d,均优于对照组,差异有统计学意义(t=3.587、14.017、25.500、8.882、5.157,P<0.05)。手术后,观察组视觉模拟评分法(Visual Analogue Scale,VAS)评分为(2.32±0.68)分,低于对照组,差异有统计学意义(t=6.773,P<0.05)。观察组Harris评分为(81.73±5.49)分,与对照组比较,差异无统计学意义(t=1.099,P>0.05)。两组患者并发症发生率比较(2.78%vs 8.33%),差异无统计学意义(χ^(2)=0.265,P>0.05)。结论对老年创伤性股骨颈骨折采用后路小切口治疗对机体损伤小,有利于患者康复,术后关节功能恢复良好且并发症风险低。
Objective To investigate the effect of lateral and posterior small incision in the treatment of traumatic femoral neck fracture in the elderly with hip replacement.Methods 72 elderly patients with traumatic femoral neck fracture admitted to Lianshui County Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were selected as the study objects,and the random number table method was divided into the lateral small incision treatment control group and the posterior small incision treatment observation group,with 36 cases in each group.The surgery and postoperative recovery indexes of the two groups were compared,and the pain scores and Harris functional scores before and after surgery were evaluated.The incidence of complications was compared between the two groups.Results Incision length(7.52±1.21)cm,blood loss(225.48±50.35)mL,drainage flow(157.25±19.10)mL,time to get out of bed(3.41±0.76)d and hospital stay(11.05±1.64)d in the observation group were all better than those in the control group,the difference was statistically significant(t=3.587,14.017,25.500,8.882,5.157,P<0.05).After operation,the Visual Analogue Scale score of the observation group was(2.32±0.68)doints,which was lower than that of the control group,and the difference was statistically significant(t=6.773,P<0.05).The Harris score of the observation group was(81.73±5.49)points,and there was no statistically significant difference between the observation group and the control group(t=1.099,P>0.05).There was no statistically significant difference in the incidence of complications between the two groups(2.78%vs 8.33%)(χ^(2)=0.265,P>0.05).Conclusion Posterior small incision treatment for elderly traumatic femoral neck fractures has little damage to the body,is conducive to the recovery of patients,and the postoperative joint function recovery is good and the risk of complications is low.
作者
赵刚
ZHAO Gang(Department of Orthopedics,Lianshui County Hospital of Traditional Chinese Medicine,Lianshui,Jiangsu Province,223400 China)
出处
《系统医学》
2023年第16期49-52,共4页
Systems Medicine
关键词
老年
创伤性股骨颈骨折
外侧小切口
后路小切口
髋关节置换
关节功能
Elderly
Traumatic femoral neck fracture
Lateral small incision
Small posterior incision
Hip replacement
Joint function
