对比股骨重建带锁髓内钉与空心螺钉联合加压钢板治疗股骨干合并同侧股骨颈骨折的效果

　　[摘要] 目的 比較股骨重建带锁髓内钉与空心螺钉联合加压钢板两种方法在股骨干合并同侧股骨颈骨折治疗中的效果。方法 回顾分析2011年2月—2016年3月期间在该院接受治疗的36例股骨干合并同侧股骨颈骨折的患者；其中18例患者分接受股骨重建带锁髓内钉治疗作观察组；18例患者接受空心螺钉联合加压钢板治疗作对照组。结果 研究所选取的36例患者，经随访均获得骨性愈合；观察组股骨颈愈合时间（5.71±0.89）个月，对照组股骨颈愈合时间（5.83±1.21）个月，两种方法的治疗效果及股骨颈愈合时间上差异无统计学意义（P>0.05）；观察组的手术时间为（90.24±20.43）min，对照组手术时间为（144.87±33.15）min；观察组术中失血量为（425.02±75.30）mL，对照组术中失血量为（912.35±123.52）mL；观察组股骨干骨折愈合时间为（5.11±1.13）个月，对照组股骨干愈合时间为（7.73±1.01）个月；3项数据两组间比较均差异有统计学意义（P<0.05）。结论 股骨重建带锁髓内钉与空心螺钉联合加压钢板两种方法治疗股骨干合并同侧股骨颈骨折均能起到较好的治疗效果，但前者的手术时间、失血量及康复进程则明显更好，方法值得在临床中借鉴。
　　[关键词] 股骨干合并同侧股骨颈骨折；带锁髓内钉；空心螺钉；加压钢板
　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）01（c）-0049-03
　　[Abstract] Objective This paper tries to compare the effect of two methods of femoral reconstruction， interlocking intramedullary nail and cannulated screw combined with compression plate in the treatment of ipsilateral femoral neck fracture of femoral shaft. Methods Retrospective analysis of February 2011 to March 2016 in this hospital of 36 cases of ipsilateral femoral neck fracture patients was conducted； 18 patients were divided into treated femoral reconstruction intramedullary nail， as the observation group； 18patients were treated with cannulated screws combined with compression plate treatment， as the control group. Results 36 cases of selected patients were healed and the healing time of the observation group of the femoral neck （5.71±0.89）months， the control group of femoral neck healing time（5.83±1.21）months， the treatment effect and the femoral neck between the two methods of healing time showed no significant differences（P>0.05）； operation time the observation group was （90.24±20.43）min， and that of the control group was（144.87±33.15）min； the volume of intraoperative blood loss group was（425.02±75.30）mL， the control group of blood volume during operation for（912.35±123.52）mL； observation group of femoral shaft fracture healing time was（5.11±1.13）months， the control group of femoral shaft fracture healing time was（7.73±1.01）months； three data between the two groups were statistically significant（P<0.05）. Conclusion Femoral reconstruction intramedullary nail and cannulated screws combined with compression plate of two methods in the treatment of femoral shaft can play a better therapeutic effect in the treatment of ipsilateral femoral neck fracture， but the operation time， the blood loss and recovery process are significantly better， which is worth application in clinical practice.
　　[Key words] Femoral shaft with ipsilateral femoral neck fracture； Interlocking intramedullary nail； Cannulated screws； Compression plate

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