同种异体骨螺钉治疗髋臼骨折比较探究.doc

同种异体骨螺钉治疗髋臼骨折比较探究[摘要] 目的：探讨同种异体骨螺钉、可吸收螺钉和普通金属螺钉治疗髋臼骨折的疗效。方法：应用同种异体骨螺钉、可吸收螺钉和普通金属螺钉治疗髋臼骨折患者共129例，并对其在功能恢复、临床愈合时间等方面进行比较。结果：同种异体骨螺钉内固定组和可吸收螺钉内固定组的髋关节功能恢复优于普通金属螺钉内固定组。同种异体骨螺钉内固定组的功能恢复优于可吸收螺钉内固定组。同种异体骨螺钉内固定组和可吸收螺钉内固定组的临床愈合时间短于普通螺钉内固定组。结论：同种异体骨螺钉治疗髋臼骨折的疗效优于可吸收螺钉和普通金属螺钉。 [关键词] 同种异体骨螺钉；可吸收螺钉；普通金属螺钉；髋臼骨折 [中图分类号] R681.8[文献标识码]A [文章编号]1673-7210（2008）07（b）-018-03 Comparative study of treatment of the acetabular fracture with allogeneic bone screw LUO Fu-chang, PENG Jian-qiang, CAI Han-zhou, ZHOU Jing-ying, LI Zhong-tan (Department of Othopeadics，the Fourth Hospital of Shenzhen, Shenzhen 518033,China) [Abstract] Objective:To evaluate the effect in the treatment of the acetabular fracture with allogeneic bone screw, absorbable screw and ordinary metal screw.Methods:Treated acetabular fracture with allogeneic bone screw, absorbable screw and ordinary metal screw for 129 cases at the same period, its functional recovery and healing time in the 3 groups were compared.Results: The group of allogeneic bone screw and absorbable screw in the functional recovery were better than the group of ordinary metal screw, the group of allogeneic bone screw in the functional recovery were better than the group ofabsorbable screw, the group of allogeneic bone screw and absorbable screw in the healing time were less than the group of ordinary metal screw.Conclusion: The effect in the treatment of the acetabular fracture with allogeneic bone screw is better than the group ofabsorbable screw and ordinary metal screw. [Key words] Allogeneic bone screw; Absorbable screw；Ordinary metal screw; Acetabular fracture 髋臼骨折多是由于高能量损伤（交通事故或高处坠落等）所致，大多数患者创伤重，手术难度高。2001年12月~2007年8月，我院应用同种异体骨螺钉、可吸收螺钉和普通金属螺钉治疗髋臼骨折患者共129例,并取得较好疗效，现报道分析如下： 1 临床资料 1.1 一般资料 自2001年12月~2007年8月，本组患者129例，入选标准：单纯的前壁、后壁、前柱、后柱骨折及小部分前壁合并前柱、后壁合并后柱骨折，无严重心、肺功能不全，术前评估能耐受手术者。并排除以下病例：复杂骨折、粉碎性骨折及臼顶骨折中心性脱位；关节腔内有游离骨片阻碍股骨头复位不良者；骨折块占整个后壁40%以上的后壁骨折；合并有坐骨神经损伤、血管损伤需及时手术探查者；合并其他脏器损伤、颅脑损伤等必须手术治疗者。 1.2分组情况 对符合条件的129例患者随机分为