高压氧联合加压螺钉治疗青年股骨颈骨折临床疗效分析

Therapeutic effects of hollow compressive screws coupled with HBO on femoral neck fracture in young patients

目的观察空心加压螺纹钉联合高压氧治疗青年股骨颈骨折的疗效。方法56例青年股骨颈骨折患者，35例给予空心加压螺纹钉手术后联合高压氧治疗（高压氧组），21例仅用空心加压螺钉内固定手术，不进行高压氧治疗（手术组），对2组近、中、远期疗效和并发症进行比较。结果2组近期疗效、并发症差异无统计学意义（P〉0．05），高压氧组中、远期疗效及减少术后并发症方面优于手术组，2组差异有统计学意义（P〈0．05）。结论闭合复位、小切口空心加压螺钉内固定联合高压氧治疗青年股骨颈骨折在中、远期疗效，减少股骨头坏死及髋关节疼痛等并发症方面有很好的疗效。

Objective To observe therapeutic effects of hollow compressive screws coupled with HBO on femoral neck fracture in young patients. Methods Fifty-six eases of young adults with femoral neck fracture were selected for the study. Of all the cases, 35 were treated with hollow compressive screws coupled with HBO （ the HBO group）, 21 cases were treated only with hollow compressive screws for fixture, without HBO therapy （the surgical group）. Then, comparisons were made between the 2 groups for short, mid and long term effects and complications as well. Results No significant differences could be seen in near-term therapeutic effects and complications in both groups （ P 〉 0.05 ）. However, regarding mid and long term effects and complications occurred after surgery, the HBO group is obviously superior to those of the surgical group. Statistical significances were noted between the 2 groups （ P 〈 0.05 ）. Conclusions Closed replacement, hollow compressive screw fixture coupled with HBO seem to produce good mid and long term therapeutic effects on femoral neck fracture and on the reduction of occurrence in bone necrosis, as well as complications occurred in young patients.