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：目的观察对中青年股骨颈骨折患者应用股骨近端锁定接骨板联合空心加压螺钉治疗的效果。方法 选择中青年股骨颈骨折患者 80 例，随机分为观察组和对照组各 40 例。观察组应用股骨近端锁定接骨板联合空心加 压螺钉闭合复位内固定术，对照组应用经皮置钉内固定术。记录两组手术相关指标，包括入院至手术前围手术期准 备时间、手术时间、术中出血量、切口长度及术中透视次数；记录术前、术后 1 年、术后 2 年的髋关节功能 Harris 评分； 记录术后 2 年的骨折愈合情况。结果观察组手术时间短于对照组，切口长度长于对照组，术中透视次数少于对照 组（P 均<0. 05）。术后 2 年，观察组Harris评分高于对照组（P<0. 05），退钉、不愈合、股骨头坏死的发生率均低于对照 组（P 均<0. 05）。结论锁定接骨板联合空心加压螺钉与经皮置钉两种内固定方式治疗中青年股骨颈骨折方面均 能取得良好疗效，锁定接骨板联合空心加压螺钉固定的远期疗效更优。 [ABSTRACT FROM AUTHOR]

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