摘要
目的探讨股骨颈骨折患者全髋关节置换术配合股骨髓腔植入自体松质骨的临床疗效。方法选取2019年1月到2021年6月期间在西安交通大学第一附属医院骨科治疗的120例股骨颈骨折患者。根据治疗方法分为对照组(全髋关节置换术)和研究组(全髋关节置换联合股骨髓腔植入自体松质骨)。t检验比较两组患者的手术时间、术中出血量、术后引流量、手术前后生活质量评分、并发症发生率;卡方检验比较两组患者术后1年髋关节功能恢复情况。结果两组手术时间差异无统计学意义(P>0.05),术中出血量以及术后引流量研究组均低于对照组(t=20.234、26.539,均为P<0.001)。术后1年研究组的髋关节功能恢复优良率高于对照组(χ^(2)=1.905,P<0.05);两组患者并发症发生率差异无统计学意义(P>0.05)。术后研究组的物质生活、社会、生理及心理功能评分均高于对照组(t=5.788、9.485、10.967、9.642,均为P<0.001)。结论全髋关节置换术配合股骨髓腔植入自体松质骨治疗,可有效减少老年股骨颈骨折患者术中出血量以及术后引流量,提高术后1年髋关节的功能,改善整体生活质量,对临床研究有一定意义。
Objective To investigate the clinical efficacy of total hip arthroplasty combined with autologous cancellous bone implantation into femoral bone marrow cavity in the patients with femoral neck fracture.Methods A total of 120 patients with femoral neck fracture treated in the Department of Orthopedics of the First Affiliated Hospital of Xi′an Jiaotong University from January 2019 to June 2021 were enrolled.According to the treatment methods,the patients were divided into the control group(total hip arthroplasty)and the research group(total hip replacement combined with autologous cancellous bone implantation in femoral bone marrow cavity).The operation time,intraoperative blood loss,postoperative drainage,quality of life score and complication rate before and after the surgery were compared between the two groups by t test.Chi square test was used to compare the recovery of hip function one year after the surgery between the two groups.Results There was no statistically significant difference in operation time between the two groups(P>0.05),while the intraoperative blood loss and postoperative drainage were lower in the research group than those in the control group(t=20.234,26.539,both P<0.001).The excellent rate of hip function recovery in the research group one year after surgery was higher than that in the control group(χ^(2)=1.905,P<0.05);there was no statistically significant difference in the complication rate between the two groups(P>0.05).The postoperative scores of life quality,social,physiological and psychological functions in the research group were higher than those in the control group(t=5.788,9.485,10.967,9.642,all P<0.001).Conclusion otal hip arthroplasty combined with autologous cancellous bone implantation in the femoral bone marrow cavity can effectively reduce intraoperative blood loss and postoperative drainage in the elderly patients with femoral neck fracture,improve the function of hip joint one year after surgery,and improve the overall quality of life,which is worthy of clinical research.
作者
刘凯
李萌
姬文晨
杨卫周
刘俭涛
Liu Kai;Li Meng;Ji Wenchen;Yang Weizhou;Liu Jiantao(Department of Orthopedics,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China)
出处
《中华关节外科杂志（电子版）》
CAS
CSCD
2022年第6期786-789,共4页
Chinese Journal of Joint Surgery(Electronic Edition)
关键词
松质骨
关节成形术
置换
髋
骨移植
Cancellous bone
Arthroplasty,replacement,hip
Bone transplantation
作者简介
通信作者:刘凯,Email:15129276678@163.com
