老年人髋臼骨折手术临床疗效的影响因素分析

Analysis of Influential Factors on Clinical Efficacy of Acetabular Fracture Surgery in the Elder Patients

目的观察分析影响老年人髋臼骨折手术临床疗效的因素。方法选取2008年1月至2011年12月在解放军总医院骨科采取手术治疗的髋臼骨折的老年患者118例,观察性别、骨折类型、手术时机、合并伤、手术入路和复位质量等影响因素并进行统计学分析。结果老年人髋臼骨折类型中简单骨折和复杂骨折术后患者疗效比较差异有统计学意义(u=3.7023,P<0.05);2周内和2周以上接收手术治疗的患者疗效比较差异有统计学意义(u=3.2781,P<0.05);复位质量中,患者解剖、良好、不满意及轮廓复位的疗效比较,差异有统计学意义(u=3.5921,P<0.05)。患者的性别、有无合并伤以及不同的手术入路等因素对手术疗效均无影响(P>0.05)。结论在老年人髋臼骨折手术的治疗中,骨折类型、手术时机以及复位质量与患者手术预后具有相关性,可以作为影响其临床疗效的独立因素。

Objective To explore the influential factors on surgical treatment of acetabular fractures in the elder patients. Methods One hundred and eighteen elder patients with acetabular fractures from PLA General Hospital from Jan. 2008 to Dec. 2011 treated with surgery were selected, and gender, fracture type, associated injuries, surgery timing and approach, quality of reduction and other information were statistically analyzed. Results Efficacy of simple fracture and complex fracture was statistically significantly different （ u = 3. 7023, P 〈 0.05 ） ; the effects of surgery for patients within two weeks and more than two weeks were statistically significantly different（ u = 3. 2781 ,P 〈 0.05 ） ;the quality of reduction of the different types of reset were statistically significantly different（ u = 3. 5921, P 〈 0.05 ）. The patients＇ gender, associated inju- ries and different surgical approach had no influence on the surgical effect （ P 〉 0.05 ）. Conclusion In eld- erly aeetabular fracture surgery treatment, the fracture type, the surgery timing and the quality of reduction are correlated with the prognosis,which can be deemed as independent influential factors on the clinical efficacy.