首页|股骨颈骨折患者全髋关节置换术中行关节囊修复的效果观察

股骨颈骨折患者全髋关节置换术中行关节囊修复的效果观察

扫码查看
目的 探讨股骨颈骨折患者全髋关节置换术中行关节囊修复的效果。方法 选取2016年7月—2023年7月本院收治的30例股骨颈骨折患者为研究对象,根据治疗方式的差异将研究对象均分为两组,所有患者都实施全髋关节置换术,观察组术中行关节囊修复,对照组术中未行关节囊修复。对比两组患者的临床效果。结果 相比于对照组,观察组的显性与隐性失血量都要更少,组间差异有统计学意义(P<0。05);与治疗前相比,两组患者的髋关节功能评分(Harris)、Berg平衡量表评分(BBS)都有不同程度的提高,与对照组相比,观察组的改善幅度更高,组间差异有统计学意义(P<0。05);观察组患者的首次下床活动时间较对照组要提前,住院时间短于对照组,组间差异有统计学意义(P<0。05);同时观察组患者的生活质量评分要比对照组高,组间差异有统计学意义(P<0。05)。结论 关节囊修复在股骨颈骨折患者全髋关节置换术中作用显著,能够有效减少患者在围手术期的显性失血量与隐性失血量,能够缩短患者的首次下床时间与住院时间,并且在手术后,患者的髋关节功能与平衡功能均恢复更好,生活质量得到提升。
Effect Observation of Joint Capsule Repair During Total Hip Arthroplasty of Patients with Femoral Neck Fracture
Objective To study application effect of joint capsule repair in total hip arthroplasty of patients with femoral neck fractures.Methods The paper chose 30 patients with femoral neck fractures admitted to our hospital from July 2016 to July 2023 as study subjects,and divided them into two groupsevenly according to different treatment methods.All patients were treated with total hip replacement surgery.Observation group was treated with joint capsule repair during surgery,while control group with no joint capsule repair during surgery.Clinical outcomes were compared between two groups.Results Observation group had less explicit and implicit blood loss than control group(P<0.05).Hip joint function scores(Harris)and Berg balance scale scores(BBS)of two groups showed varying degrees of improvement compared with before treatment.Observation group had higher degree of improvement than control group(P<0.05).The first time out of bed activity of observation group was earlier than control group(P<0.05),length of stay was shorter than control group(P<0.05).At the same time,life quality scores of observation group were higher than control group(P<0.05),difference was statistically significant.Conclusion Joint capsule repair can play significant role in total hip arthroplasty of patients with femoral neck fractures,reduce explicit and implicit blood loss during the perioperative period effectively,shorten first time out of bed and hospital stay.After surgery,hip joint function and balance function recovers better,which can improve life quality of of patients.

Femoral neck fractureTotal hip replacement surgeryJoint capsule repair

李鹏乐、邵誉亮、杨小广、王斌

展开 >

甘肃省陇南市第一人民医院 骨三科,甘肃 陇南 746000

股骨颈骨折 全髋关节置换术 关节囊修复

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(10)