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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 李凯 王志回 梁坚 马春柳 韦尚吟 彭宇 李辽波

中国现代手术学杂志2017,Vol.21Issue(6):432-435,4.
中国现代手术学杂志2017,Vol.21Issue(6):432-435,4.DOI:10.16260/j.cnki.1009-2188.2017.06.009

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

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

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

作者信息

  • 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
  • 折叠

摘要

Abstract

Objective To 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.Method There were 35 cases with femoral neck fractures in the small incision group,and 35 cases with femoral neck fracture in the SmithPetersen 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.Results The 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).Conclusions It 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.

关键词

股骨颈骨折/小切口/双肌蒂髂骨瓣

Key words

femoral neck fractures/mini-incision/bi-muscle pedicle iliac bone petal

分类

医药卫生

引用本文复制引用

陈敏,李凯,王志回,梁坚,马春柳,韦尚吟,彭宇,李辽波..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):432-435,4.

基金项目

贵港市科学研究与技术开发计划项目(编号:贵科0710003) (编号:贵科0710003)

中国现代手术学杂志

OACSTPCD

1009-2188

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