摘要
[目的]探讨影响髋臼骨折手术预后的因素。[方法]收集2010年5月-2014年10月本院收治的169例髋臼骨折并接受手术治疗的患者,其中138例（81.7%）预后较好,31例（18.3%）预后不好。记录所有患者的性别、年龄、体重指数（BMI）、受伤原因、骨折形式、骨折侧别、是否陈旧性骨折、骨折类型、手术入路、内固定、是否高压氧治疗和吸烟（吸烟判断：曾有吸烟史,戒烟或未戒烟）等资料,并进行比较。[结果]单因素分析显示影响髋臼骨折手术预后的因素有手术入路、陈旧性骨折、复杂髋臼骨折、双侧髋臼骨折和内固定材料（技术）（P〈0.05、P〈0.01）,年龄、性别、体重指数、受伤原因、骨折开放、高压氧治疗和是否抽烟对髋臼骨折手术预后影响较小（P〉0.05）。多因素Logistic分析显示,影响髋臼骨折手术预后的因素有手术入路、陈旧性骨折、复杂髋臼骨折和双侧髋臼骨折（P〈0.01、P〈0.05）。[结论]影响髋臼骨折手术预后的因素主要有手术入路、陈旧性骨折和复杂髋臼骨折。
[ Objective ] To investigate the factors influencing prognosis of acetabular fracture surgery. [ Method ] From May 2010 to October 2014,169 cases of acetabular fractures undergoing surgery were enrolled into our study. Among these patients, 138（81.7% ） cases had good prognosis,31 patients （ 18.3% ） had poor prognosis. All the patientgender,age,body mass in- dex （BMI）, cause of injury, fractures form, the affected side, whether old fracture or not, fracture type, surgical approach, fixa- tion ,whether hyperbaric oxygen therapy and smoking or not, etc. were recorded and compared. [ Result ] Single -factor analysis showed that surgical approach, old fractures, complex acetabular fractures, bilateral acetabular fractures and internal fixation could affect prognosis （ P 〈 0.05 or P 〈 0.01 ）. Age, sex, BMI, cause of injury, open fracture, hyperbaric oxygen therapy and drink could not affect prognosis of acetabular fracture surgery （ P 〉 0.05 ）. Logistic analysis showed that surgical approach, old fractures, complex acetabular fractures and bilateral acetabular fractures could affect prognosis （ P 〈 0.05 or P 〈 0.01 ）. [ Con- clusion ] The factors affecting acetabular fracture surgery prognosis are mainly surgical approach, old fractures and complexity of acetabular fractures.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2016年第10期884-888,共5页
Orthopedic Journal of China
基金
宁夏自然科学基金(编号:NZ1215)
关键词
髋臼骨折
预后
影响因素
acetabular fractures, prognosis, factors
