非手术治疗髋关节中心性骨折脱位的远期随访word论文.docxVIP

非手术治疗髋关节中心性骨折脱位的远期随访摘要目的：探讨髋关节中心性骨折脱位非手术治疗的效果。方法：通过收集石河子大学第一附属医院骨一科2008 年01 月至2013年04 月确诊的髋关节中心性骨折脱位患者20 例，患者接受正规合力牵引治疗，治疗前后比较Harris 评分、视觉模拟疼痛评分和髋关节活动度检查。所得数据采用均数±标准差（x±s）表示，采用SPSS l7.0统计软件进行统计分析，组间比较采用独立样本t 检验，以P0.05 有统计学意义。结果：治疗后随访6个月-5年，20例患者中优7例、良11例、可1例、差1例；治疗末次随访时Harris评分（83.55±7.51）分较治疗前0分明显提高（P0.01）；视觉模拟疼痛评分（1.45±0.60）分较治疗前（8.05±0.83）分明显下降（P0.01）。组间比较P值均小于0.05，具有统计学意义。结论：保守治疗能够有效缓解髋关节中心性脱位分型中的前壁、前柱、横行骨折患者髋关节疼痛症状，改善髋关节功能，提高关节活动度。远期疗效满意。关键词：髋臼，中心性骨折脱位，髋关节论文类型：B（应用研究）I非手术治疗髋关节中心性骨折脱位的远期随访AbstractObjective:Toinvestigatetheresultsofnon-surgicaltreatmentforcentralfracture-dislocation ofthehipjoint．.Methods:FromJanuary，2008toApril,2013，atotalof20casesdiagnosedascentralfracture-dislocationofthehipjoint.Allthepatientsreceivedstandardresultantforceoftraction treatment．TheHarrishipscoreandthevisualanaloguescoresforhippainandthehipmobilitybeforeandafterthetreatmentwerecompared．Allthedatawereintheformof”mean±standard”andanalyzedwithIndependentsamplet-testthroughSPSS17.0softwar.thePvaluelessthan0.05was consideredstaticallysignificant.Result:Patientswerefollowedupfrom6monthsto5years．Ofthe20patients,7casesexcellent,11casesgood,1casesingeneral,1caseofpoor.ThemeanHarrishipscoreimproved significantlyfrom0beforetreatmentto83.55±7.51(P＜0.01)andthemeanvisualanaloguescores forhippaindecreasedfrom8.05±0.83to1.45±0.60(P＜0.01).Conclusion:TreatmentcaneffectivelyrelievethesymptomsinpatientswithCentralFracture-DislocationoftheHipJointpainandimprovethehipfunction.Itwasfoundthatthelong termresultswouldbesatisfactory.Keywords:acetabulum;centralfracture-dislocation;hipjointTypeofpaper:B(Appliedresearch)II非手术治疗髋关节中心性骨折脱位的远期随访目录摘要................................................................................................................................................IAbstract..............................................................................................................................................II前言......................................................................