| 齐书环,赵继朋.股骨颈骨折复位内固定术后股骨头坏死的危险因素分析[J].中国烧伤创疡杂志,2022,(4):258~261. |
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| 中文关键词: 股骨头坏死 股骨颈骨折 骨折复位内固定术 Ｇａｒｄｅｎ 分型 糖尿病 高血压 |
| 英文关键词:Femoral head necrosis Femoral neck fracture Reduction and internal fixation Garden classification Diabetes Hypertension |
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| 中文摘要: |
| 【摘要】 目的 分析股骨颈骨折复位内固定术后股骨头坏死的相关危险因素。 方法 选取 2016年2月至2019年1月洛阳市第一人民医院收治的82例行骨折复位内固定术治疗的股骨颈骨折患者作为研究对象， 收集患者性别、年龄、发病至就诊时间、术前是否制动牵引、 骨折 Garden分型、股骨头后倾角是否 >15°、是否合并高血压、 是否合并糖尿病等资料， 根据术后2年是否出现股骨头坏死将患者分为股骨头坏死组与非股骨头坏死组，多因素Logistic回归分析股骨颈骨折复位内固定术后股骨头坏死的相关危险因素。 结果 术后随访2年， 82例股骨颈骨折复位内固定术后患者出现股骨头坏死者 10 例， 设为股骨头坏死组; 未出现股骨头坏死者72例， 设为非股骨头坏死组。 多因素 Logistic 回归分析结果显示， Garden 分型为Ⅲ ~ Ⅳ型、 股骨头后倾角 >15°、 合并高血压及糖尿病是股骨颈骨折复位内固定术后股骨头坏死的独立危险因素 (95% CI 为 1.784 ~ 46.334、 1.318 ~ 33.730、1.253 ~22.438、 1.432 ~98.969， P =0.008、 0.022、 0.023、 0.022)。 结论 股骨颈骨折复位内固定术后股骨头坏死的发生与骨折分型、 是否合并高血压及糖尿病密切相关， 临床应及时针对危险因素进行干预， 以预防股骨头坏死的发生。 |
| 英文摘要: |
| 【Abstract】 Objective To analyze the risk factors for femoral head necrosis following reduction and internal fixation for femoral neck fracture. Methods 82 patients with femoral neck fracture, admitted into Luoyang First People’s Hospital between February 2016 and January 2019 for reduction and internal fixation, were enrolled as research subjects, and data of these patients were collected including sex, age, time from onset to admission, with preoperative traction or not, Garden classification of fractures, posterior tilt of the femoral head >15° or not, complicated with hypertension and diabetes or not. The research subjects were divided into femoral head necrosis group and non-femoral head necrosis group based on whether femoral head necrosis happened 2 years after surgery, and multivariate Logistic regression analysis were conducted to analyze the relevant risk factors for femoral head necrosis following reduction and internal fixation for femoral neck necrosis. Results During the follow?up two years after surgery, of the 82 patients received reduction and internal fixation for femoral neck fracture, 10 cases developed femoral head necrosis, setting as femoral neck necrosis group, and the other 72 cases without developing femoral head necrosis were set as non-femoral head necrosis group. The multivariate Logistic regression analysis showed that Garden types Ⅲ - Ⅳ fracture, posterior tilt of the femoral head > 15°, complicated with hypertension and diabetes were independent risk factors of femoral head necrosis following reduction and internal fixation for femoral neck fracture (95%CI: 1.784 -46.334, 1.318 -33.730, 1.253 -22.438, 1.432-98.969, P=0.008, 0.022,0.023 and 0.022). Conclusion The occurrence of femoral head necrosis following reduction and internal fixation for femoral neck fracture is closely associated with the classification of fracture, and whether hypertension or diabetes is a complication. It is advised to address these risk factors promptly in clinical practice to avoid the occurrence of femoral head necrosis. |
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