早期血管神经修复对股骨下段骨折合并膝关节损伤的临床效果

魏虎

（延安市博爱医院骨科，陕西 延安，716000）

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摘要：

目的 研究早期血管神经修复对股骨下段骨折合并膝关节损伤的临床效果。方法 选取我院2014年5月至2015年5月收治的90例股骨下段骨折合并膝关节损伤患者为研究对象，按接受血管神经修复时患者受伤时间分为观察组（受伤时间≤ 8 h）与对照组（受伤时间>8 h），每组45 例。两组患者进行血管神经修复后随访1年，均随访成功。对比两组患者的住院时间、骨折愈合时间、韧带愈合时间和并发症发生率，记录术前及术后3、6、12 个月患者的膝关节Lysholm 评分。结果 观察组患者 的住院时间、骨折愈合时间、韧带愈合时间均短于对照组（P<0.05）；观察组术后3、6 个月膝关节功能评分高于对照组（P< 0.05）。两组术后均未发生严重并发症。结论 对股骨下段骨折合并膝关节损伤患者尽早进行血管神经修复治疗，可缩短住院时间、骨折愈合时间和韧带愈合时间，促进膝关节功能恢复，安全性高，具有较好的临床应用价值。

关键词：早期血管神经修复；股骨下段骨折；膝关节损伤

中图分类号：R687.3 文献标志码：A文章编号：2096-1413(2017)19-0047-02

Clinical effect of early vascular nerve repair in the treatment of lower segment of femur fracture combined

with knee joint injury
WEI Hu
(Department of Orthopaedics, Yan``an Boai Hospital, Yan``an 716000, China)

ABSTRACT: Objective To study the clinical effect of early repair of vascular nerve on lower segment of femur fracture combined with knee joint injury. Methods Ninety cases of patients with lower segment of femur fracture combined with knee joint injury admitted in our hospital from May 2014 to May 2015 were selected as the research objects. According to the injure time when receiving repair of vascular nerve, the patients were divided into observation group (injury time < 8 h) and control group (injury time >8 h), with 45 cases in each group. Both groups accepted neurovascular repair and were followed up for 1 year. The hospitalization time, fracture healing time, ligament healing time and incidence rate of complications were compared between the two groups, meanwhile, the Lysholm score of knee joint before operation and postoperative 3, 6, and 12 months were recorded. Results The hospitalization time, fracture healing time and ligament healing time in the observation group were shorter than those in the control group (P<0.05). The knee function scores of the observation group at 3 and 6 months after operation were better than those of the control group (P<0.05). There was no severe complications in the two groups. Conclusion Early vascular never repair in the treatment of lower segment of femur fracture combined with knee joint injury can shorten the length of hospital stay, fracture healing time and ligament healing time, promote recovery of knee function, with high safety, which has good clinical application value.
KEYWORDS: early repair of vascular nerve; fracture of distal femur; knee joint injury

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