加压螺钉固定配合接骨丹治疗股骨颈骨折后期股骨头坏死的随访观察报告-中医骨伤科学专业论文.docxVIP

r一 r一 中文摘要 中文摘要 英文摘要 前言 “一” ”一“ ””” ”””“一””一””· 3 正文································································ ····· 4 资料与方法 4 结论··一·························· ······· ·一···················· 6 讨论······························· ·· ··························· 1 O 结论······· ··············· ······························· ···· 1 5 参考文献 1 6 致谢····· ······ ········· ······ ····· ···· ·· ····· 1 8 附图 1 9 附表 ········· ··········· ··· ········ ·························· 22 综述···································-···································· 2 5 个人简介 2 9 加压螺钉固定配合接骨丹治疗股骨颈骨折后期 加压螺钉固定配合接骨丹治疗股骨颈骨折后期 股骨头坏死的随访观察报告 专业：中医骨伤科学 研究生：周飞 导师：林乔龄主任医师 中文摘要 目的：回顾性分析股骨颈骨折患者采用中空加压螺丝钉手术治疗术后，导致股骨头缺血 性坏死的相关因素，探讨接骨丹片在预防股骨头坏死过程中的作用，探讨股骨颈骨折术 后股骨头缺血性坏死发生及转归的一般规律。 方法：采用临床回顾性的调查方法，对在福建省漳州市中医院骨科行加压螺钉治疗的128 例股骨颈骨折患者进行统计并分组，分类变量用X2检验，相关性分析采用多元Logistic 回归分析。 结果：本组病例中128例股骨颈骨折经加压螺丝钉固定治疗的患者，术后未出现骨折不 愈合，出现股骨头坏死有5例，股骨头坏死率为3．91％。通过分组X2检验和Logistic多因 素回归分析，影响股骨头缺血坏死发生的主要相关因素为Garden分型(P0．05)、复位 质量(P0．05)。 结论：骨折Garden分型是影响股骨头缺血坏死的主要因素，骨折复位的Garden指数是 影响股骨头缺血性坏死的危险因素。 关键词：股骨颈骨折股骨头坏死多因素分析接骨丹 di di scuss the the general rules of happen and the outcome of the femoral neck fracture avascular． Methods：Using clinical retrospective survey methods，carry out statistics and make group for 128 cases of fresh femoral neck fracture patients in fujian province，zhangzhou hospital hospital Compute the classification with rank and inspectionand variable correlation analysis with the multiple Logistic regression analysis． Result：Fracture nonunion is 0，but the avascular necrosis appeared 5 cases in patients with 128 follow—up，and the avascular necrosis rate is 3．91％．By grouping the X2 inspection and Logistic multi—factor regression analysis，the mainly related factors of femoral ischemia necrosis is Garden classification(PO．05) and reset qual ity(PO．05)． Conclusion：Fracture type Garden points is main factor affection of the femoral ischemia necrosis，and Reduction of Garden