开放与闭合复位延迟治疗儿童股骨颈骨折的临床效果比较(1)
[摘要]目的 探讨对儿童股骨颈骨折实施开放、闭合复位延迟治疗的效果，为临床提供指导。方法 选取2007年8月～2017年8月我院收治的68例股骨颈骨折患儿为观察对象，按治疗方法的不同将其分开放组(38例)、闭合组(30例)。开放组应用开放复位延迟治疗，闭合组应用闭合复位延迟治疗。均随访半年，比较两组的疗效、髋关节功能评分、骨折愈合时间及并发症发生率。结果 开放组的优良率为81.58%，高于闭合组(50.00%)，差异有统计学意义(P<0.05)；两组的骨折愈合时间比较，差异无统计学意义(P>0.05)，但开放组治疗后半年的髋关节功能评分[(87.65±3.20)分]，高于闭合组[(78.32±4.25)分]，差异有统计学意义(P>0.05)；开放组的并发症发生率为5.26%，低于闭合组(26.67%)，差异有统计学意义(P<0.05)。结论 对股骨颈骨折患儿实施开放复位延迟治疗的效果较闭合复位延迟治疗更佳，更有助于改善患儿髋关节功能，且并发症更少。
[关键词]儿童股骨颈骨折；开放复位；闭合复位；延迟治疗；效果
[中图分类号] R726.8 [文献标识码] A [文章编号] 1674-4721(2018)7(c)-0049-03
[Abstract] Objective To explore the effect of open and closed reduction delayed treatment in children with femoral neck fracture. Methods From August 2007 to August 2017， 68 children with femoral neck fracture in our hospital were selected as observation objects， they were divided into two groups according to different treatment method， 38 cases in closed group， and 30 cases in open group. Open group was treated with open reduction delayed treatment， closed group was treated with closed reduction delay. All patients were followed up for half a year. The curative effect， hip function score， fracture healing time and incidence of complications were compared between open group and closed group. Results The excellent and good rate of open group (81.58%) was higher than that of closed group (50.00%) (P<0.05). Fracture healing time of two groups there was no significant difference (P>0.05)， but the score of hip joint function in the open group of (87.65±3.20) score was significantly higher than that in the closed group of (78.32±4.25) score half a year after treatment， and the difference was statistically significant. The incidence of complications in the open group (5.26%) was lower than that in the closed group， (26.67%)， with a statistical difference (P<0.05). Conclusion The effect of open reduction delay therapy in children with femoral neck fracture is better than that in closed reduction delay treatment. It is more helpful to improve hip function and has fewer complications in children with femoral neck fracture.
[Key words] Femoral neck fracture in children； Open reduction； Closed reduction； Delayed treatment； Effect
研究顯示[1-3]，儿童股骨颈较短，股骨颈干角和前倾角较成人更大，相比于成人群体，儿童发生股骨颈骨折的概率更高。目前，临床治疗该类骨折以手术复位内固定为主，但较多研究显示，部分患儿易存在复位延迟治疗现象，复位延迟治疗主要是指股骨颈骨折患儿自受伤起超过24 h进行复位治疗，由于部分地区事故发生地和医院距离较远、儿童合并其他内科疾病或下级医院耽误等原因，导致部分患儿骨折部位24 h内不能获得及时处理，对这种延迟治疗的患儿实施何种治疗仍然存在争议性[4-6]。本研究对儿童股骨颈骨折分别实施开放复位延迟治疗、闭合复位延迟治疗，比较两种复位方法的效果，现报道如下。
1资料与方法, 百拇医药(杜喜峰 谢良富 陈秋)
[关键词]儿童股骨颈骨折；开放复位；闭合复位；延迟治疗；效果
[中图分类号] R726.8 [文献标识码] A [文章编号] 1674-4721(2018)7(c)-0049-03
[Abstract] Objective To explore the effect of open and closed reduction delayed treatment in children with femoral neck fracture. Methods From August 2007 to August 2017， 68 children with femoral neck fracture in our hospital were selected as observation objects， they were divided into two groups according to different treatment method， 38 cases in closed group， and 30 cases in open group. Open group was treated with open reduction delayed treatment， closed group was treated with closed reduction delay. All patients were followed up for half a year. The curative effect， hip function score， fracture healing time and incidence of complications were compared between open group and closed group. Results The excellent and good rate of open group (81.58%) was higher than that of closed group (50.00%) (P<0.05). Fracture healing time of two groups there was no significant difference (P>0.05)， but the score of hip joint function in the open group of (87.65±3.20) score was significantly higher than that in the closed group of (78.32±4.25) score half a year after treatment， and the difference was statistically significant. The incidence of complications in the open group (5.26%) was lower than that in the closed group， (26.67%)， with a statistical difference (P<0.05). Conclusion The effect of open reduction delay therapy in children with femoral neck fracture is better than that in closed reduction delay treatment. It is more helpful to improve hip function and has fewer complications in children with femoral neck fracture.
[Key words] Femoral neck fracture in children； Open reduction； Closed reduction； Delayed treatment； Effect
研究顯示[1-3]，儿童股骨颈较短，股骨颈干角和前倾角较成人更大，相比于成人群体，儿童发生股骨颈骨折的概率更高。目前，临床治疗该类骨折以手术复位内固定为主，但较多研究显示，部分患儿易存在复位延迟治疗现象，复位延迟治疗主要是指股骨颈骨折患儿自受伤起超过24 h进行复位治疗，由于部分地区事故发生地和医院距离较远、儿童合并其他内科疾病或下级医院耽误等原因，导致部分患儿骨折部位24 h内不能获得及时处理，对这种延迟治疗的患儿实施何种治疗仍然存在争议性[4-6]。本研究对儿童股骨颈骨折分别实施开放复位延迟治疗、闭合复位延迟治疗，比较两种复位方法的效果，现报道如下。
1资料与方法, 百拇医药(杜喜峰 谢良富 陈秋)