运用动力髋螺钉治疗治疗中青年股骨颈骨折的临床效果观察.docVIP

精品论文 参考文献 运用动力髋螺钉治疗治疗中青年股骨颈骨折的临床效果观察 谭志伟 冯翔宇 黄增凤 肖志林 熊刚 郑佐慧 　　(广东省佛山市南海区第六人民医院 广东佛山 528248) 　　【摘要】目的：空心加压螺钉与动力髋螺钉内固定加旋髂肾血管蒂髂骨瓣治疗中青年股骨颈骨折的临床效果对比分析。方法：选取2010年5月至2014年1月我院收治的58例中青年股骨颈骨折患者作为研究对象。随机分为两组，A组运用空心加压螺钉治疗，B组运用动力髋螺钉治疗。术后观察A、B两组术后股骨颈骨折愈合情况及股骨头供血情况，并在2个月、4个月、12个月检查得出数据，分析出两种螺钉的临床效果差异。结果：在2个月、4个月、12个月的检查中发现，两种螺钉均有效于股骨颈骨折的愈合，但是B组出现多例股骨头供血不良的情况，骨折处较A组愈合较慢，且A组股骨头供血情况良好，P＜0.05，具有统计学意义??12个月后检查结果显示，A组的病患股骨转子旋转能力强于B组，且B组出现股骨头坏死的病例，P＜0.05，具有统计学意义。结论：空心加压螺钉内固定加旋髂深血管蒂髂骨瓣治疗中青年股骨颈骨折的临床效果要比髋螺钉的临床效果要好。 　　【关键词】空心加压螺钉 动力髋螺钉 固定加旋髂深血管蒂髂骨瓣 股骨颈骨折 　　【中图分类号】R687 【文献标识码】A 【文章编号】2095-1752（2014）13-0107-02 　　Using the treatment of middle-aged and young dynamic hip screws for the treatment of femoral neck fracture clinical effect observation 　　Tan Zhiwei Feng Xiangyu Huang Zengfeng Xiao Zhilin Xiong Gang 　　Zheng Zuohui 　　The 6th Peoples Hospital of Guangdong Province Foshan Nanhai District(Guangdong Foshan 528248) 　　【Abstract】 Objective The hollow compression screws with dynamic hip screw fixation and spin iliac renal vascular pedicle iliac flap for treatment of femoral neck fracture of middle-aged and young. Methods: In May 2010 to our hospital in January 2014, 58 cases of young and middle-aged patients with femoral neck fracture as the research object. Were randomly divided into two groups: group A with hollow compression screw treatment, B group was treated with dynamic hip screw. Postoperative observation of A and B two groups of postoperative femoral neck fracture healing and femoral head blood supply situation, and in 2 months, 4 months, 12 months check data, analyze the clinical effect of two kinds of screw. Results : In 2 months, 4 months and 12 months of inspection found that the two screws are effective in the femoral neck fracture healing, but in many cases of femoral head blood group B, fracture healing group A slower, and femoral head blood group A in good condition, P lt;0.05, statistically significant;