| 髋关节骨折脱位合并坐骨神经损伤的临床特点及疗效分析 |
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Received:March 26, 2002
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| 期刊信息：《中国骨伤》2002年15卷，第9期，第524-525页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:回顾性分析髋关节骨折脱位合并坐骨神经损伤的特点及治疗效果。
方法:对48例髋关节骨折脱位合并坐骨神经损伤患者的手术及保守治疗后进行随访,平均随访2年6个月。
结果:48例中,39例行手术治疗,其中32例伤后3周内进行,7例伤后3周～3个月内进行。9例行非手术治疗。根据MCRR标准,伤后3周内手术的32例中,优18例,良8例,差5例,劣1例。伤后3周～3个月内手术的7例中,优1例,良3例,差1例,劣2例。9例非手术治疗者,优6例,良3例。
结论:髋关节骨折脱位合并坐骨神经损伤的患者应及早积极手术治疗,尽快恢复髋关节解剖结构,尽快解除坐骨神经的压迫,对髋关节创伤性关节炎的发生发展及坐骨神经功能的恢复有密切关系。 |
| [关键词]:髋关节 坐骨神经 骨折 脱位 |
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| The clinical characteristics of fracture-dislocation of the hip complicated with sciatic nerve injury and the analysis of the result of treatment |
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Abstract:
Objective:To improve the effect of treatment of fracture dislocation of the hip complicated with the sciatic nerve injury by analyzing its characteristics and result of treatment
Methods:48 cases of fracture-dislocation of the hip complicated with sciatic nerve injury were reviewed.The mean period of followed-up was 2 6 years.
Results:39 of the 48 cases of freacture dislocation of the hip complicated with sciatic nerve injury,were treated with surgery.Following open reduction of the fracture and dislocation,the sciatic nerve was explored,neurolysis and anastomosis of the injured ends were performed.21 cases had the surgery within one week after the injury 8 cases within 1～2 weeks,3 cases within 2～3 weeks and 7 cases had surgery 3 months after the injury.The follow up period lasted for 1～4 years and an average of 2 6 years.According to MCRRs criteria,the 32 cases operated upon within 3 weeks after the injury,there were 18 cases obtained excellent results,8 cases had good results,8 cases fair and 1 poor.The 7 cases operated upon at the time from 3 weeks to 3 months after injury 1 case showed excellent result,3 good,1 fair,2 poor.
Conclusion:Timely Operation,anatomical reduction and early exploration of the sciatic nerve are the key points for decreasing the occurrence of traumatic arthritis of the hip and promoting the recovery of the sciatic nerve function. |
| KEYWORDS:Hip joint Sciatic nerve Fractures Dislocation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘卓,刘磊,吕智.髋关节骨折脱位合并坐骨神经损伤的临床特点及疗效分析[J].中国骨伤,2002,15(9):524~525 |
| 英文格式: | LIU Zhuo,LIU Lei,LV Zhi.The clinical characteristics of fracture-dislocation of the hip complicated with sciatic nerve injury and the analysis of the result of treatment[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(9):524~525 |
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