青少年创伤后股骨头坏死的临床特点及保髋手术治疗对提升治疗效果的意义

The Clinical Characteristics of Post-traumatic Femoral Head Necrosis in Adolescents and the Significance of Hip-preserving Surgery to Improve the Therapeutic Effect

目的研究与分析青少年创伤后股骨头坏死的临床特点及保髋手术治疗对提升治疗效果的意义。方法该次研究的研究对象为2018年12月—2020年4月来该院进行治疗的患有创伤后股骨头坏死的86例青少年患者,该次研究采取回顾性分析法对研究对象的治疗方法以及治疗效果进行回顾性分析。结果经过对86例患者进行随访后,结果显示患者治疗后平均髋关节Harris评分为(86.4±7.2)分,较治疗前显著提升,差异有统计学意义(t=20.479,P<0.001)。同时患者治疗后较治疗前的股骨头稳定情况、股骨头塌陷程度、股骨头坏死面积以及髋关节骨关节炎等指标差异有统计学意义(Z=15.676、24.001、145.159、10.617、P<0.05)。结论对于青少年创伤后股骨头坏死采取保髋手术治疗,可以提升治疗效果,获得较佳的疗效。

Objective To study and analyze the clinical characteristics of femoral head necrosis after trauma in adolescents and the significance of hip-preserving surgery to improve the therapeutic effect.Methods The subjects of this study were 86 adolescent patients with post-traumatic femoral head necrosis who came to the hospital for treatment.The time period selected for the subjects of this study was from December 2018 to April 2020.The study adopted retrospective analysis to retrospectively analyze the treatment methods and treatment effects of the research subjects.Results After follow-up of 86 patients,the results showed that the average Harris score of the hip joint after treatment was(86.4±7.2)points,which was significantly higher than that before treatment,and the difference was statistically significant(t=20.479,P<0.001).At the same time,there were statistically significant differences in the stability of the femoral head,the degree of femoral head collapse,the area of femoral head necrosis,and hip osteoarthritis after treatment(Z=15.676,24.001,145.159,10.617,P<0.05).Conclusion For adolescents with post-traumatic femoral head necrosis,hip-preserving surgery can improve the therapeutic effect and obtain better results.