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中国现代手术学杂志  2017, Vol. 21 Issue (6): 432-435    DOI: 10.16260/j.cnki.1009-2188.2017.06.009
  临床论著 |
小切口与常规切口带缝匠肌阔筋膜张肌蒂髂骨瓣治疗股骨颈骨折的比较
陈敏1,李凯1,王志回1,梁坚1,马春柳1,韦尚吟1,彭宇1,李辽波2
1.广西贵港市骨科医院骨科,广西贵港 537100; 2.陕西榆林市星元医院骨科, 陕西榆林 719000
The Comparison of Small Incision and Conventional Incision for Bi-muscle Pedicle Bone Grafting of Sartorius and Tensor Fascia Latae in Femoral Neck Fracture Patients
CHEN Min1,LI Kai1,WANG Zhi-hui1,LIANG Jian1,MA Chun-liu1,WEI Shang-yin1,PENG Yu1,LI Liao-bo2
1.Department of Orthopedics,Guigang Orthopedic Hospital of Guigang,Guigang537100,Guangxi,China;2.Department of Orthopedics,Yulin Xingyuan Hospital,Yulin719000,Shaanxi,Chin)
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摘要 目的探讨小切口下行带缝匠肌阔筋膜张肌双肌蒂髂骨瓣移植治疗股骨颈骨折的疗效,并与Smith-Petersen切口或改良S-P切口法进行比较。方法回顾性分析2004年1月至2013年12月期间于我院接受股骨颈骨折治疗的35例行小切口带双肌蒂髂骨瓣移植治疗的中青年股骨颈骨折患者,并选取同期接受Smith-Petersen切口或改良S-P切口完成治疗的35例患者病例进行对比分析,对两组病例的手术时间、术中出血量、切口长度、术后引流量、术后愈合时间、治疗效果、并发症等方面进行比较。结果术后随访23.6(13~36)个月,发现小切口法在手术时间、术中出血量、切口长度、术后引流量方面明显优于Smith-Petersen切口或改良S-P切口法(P<0.01)。两组在术后愈合时间、并发症方面比较,差异无统计学意义(P>0.05)。结论小切口法双肌蒂髋骨瓣植骨可减少皮肤、软组织损伤,减少血运破坏,更有利于手术安全及术后康复,是治疗青壮年股骨颈骨折的有效方法。
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陈敏1,李凯1,王志回1,梁坚1,马春柳1,韦尚吟1,彭宇1,李辽波2
关键词:  股骨颈骨折  小切口  双肌蒂髂骨瓣    
Abstract: ObjectiveTo discuss the clinical results of the small incision for bi-muscle pedicle bone grafting of sartorius and tensor fascia latae in femoral neck fracture patients.MethodThere were 35 cases with femoral neck fractures in the small incision group, and 35 cases with femoral neck fracture in the Smith-Petersen incision or improved Smith-Petersen group. Operation time, intraoperative blood loss, incision length, postoperative drainage, postoperative healing time, treatment effects and complications were compared between the two groups.ResultsThe patients were followed up for 23.6 (13~36) months,and the clinical results of the small incision group was found to be significantly better than the conventional incision(P<0.01), such as operation time, intraoperative blood loss, incision length and postoperative drainage volume. There was no significant difference in healing time and complication rates between the two groups (P>0.05).ConclusionsIt is recommended of the small incision for the advantages of less soft tissue damage, less blood loss, more conducive surgical safety and quicker postoperative rehabilitation, which is an effective method for the treatment of femoral neck fractures in young adults.
Key words:  femoral neck fractures    mini-incision    bi-muscle pedicle iliac bone petal
                    发布日期:  2018-05-28      期的出版日期:  2017-12-26
ZTFLH:  R683.42  
  R687.3  
基金资助: 贵港市科学研究与技术开发计划项目(编号:贵科0710003)
通讯作者:  李辽波   
作者简介:  陈敏,男,54岁,广西贵港市骨科医院骨科副主任医师。
引用本文:    
陈敏1,李凯1,王志回1,梁坚1,马春柳1,韦尚吟1,彭宇1,李辽波2. 小切口与常规切口带缝匠肌阔筋膜张肌蒂髂骨瓣治疗股骨颈骨折的比较[J]. 中国现代手术学杂志, 2017, 21(6): 432-435.
CHEN Min. The Comparison of Small Incision and Conventional Incision for Bi-muscle Pedicle Bone Grafting of Sartorius and Tensor Fascia Latae in Femoral Neck Fracture Patients. Chinese Journal of Modern Operative Surgery, 2017, 21(6): 432-435.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2017.06.009  或          http://www.surgerychina.com/CN/Y2017/V21/I6/432
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