CAJ | 학술논문

目的探讨75岁及以上髋部骨折手术治疗的必要性、可行性及耐受性. 方法采用回顾性分析的方法对70例老年髋部骨折患者自理能力、并存疾病、手术后并发症等进行综合耐受力评分,评价手术与生存状态的关系. 结果 70例患者中手术组46例,非手术组24例,手术耐受力综合评分手术组高于非手术组,分别为(76.1±12.2)分和(65.5±13.9)分,P<0.01.随访结果显示,手术组牛存期中位数明显高于非手术组(97个月与48个月,P<0.05),Kaplan Meier方法分析手术组的生存状态好于非手术组. 结论 75岁及以上髋部骨折患者,进行手术耐受力的综合评定,对确定手术的可行性,充分评估手术风险有重要意义.只要手术耐受力综合评定提示患者能够耐受手术的可能性大,手术治疗应该是更合理的选择.
목적 탐토75세급이상관부골절수술치료적필요성、가행성급내수성. 방법 채용회고성분석적방법대70례노년관부골절환자자리능력、병존질병、수술후병발증등진행종합내수력평분,평개수술여생존상태적관계. 결과 70례환자중수술조46례,비수술조24례,수술내수력종합평분수술조고우비수술조,분별위(76.1±12.2)분화(65.5±13.9)분,P<0.01.수방결과현시,수술조우존기중위수명현고우비수술조(97개월여48개월,P<0.05),Kaplan Meier방법분석수술조적생존상태호우비수술조. 결론 75세급이상관부골절환자,진행수술내수력적종합평정,대학정수술적가행성,충분평고수술풍험유중요의의.지요수술내수력종합평정제시환자능구내수수술적가능성대,수술치료응해시경합리적선택.
Objective To investigate the necessity and tolerance of operation for hip fracture in patients aged 75 years and over. Methods The general tolerance including the self-care ability, comorbidities and postoperative complications was retrospectively analyzed in 70 elderly patients with hip fracture. Then the relationship between operation and survival status was estimated. Results The average tolerance score was significantly higher in 46 patients who accepted the operation than in 24 patients who didn't C(76. 1±12. 2) vs. (65. 5±13. 9), P<0. 01]. The median survival period was significantly higher in operation group than in non-operation group ( 97 mouths vs. 48 mouths, P< 0. 05). Kaplan Meier analysis showed that the survival status was better in operation group than in non-operation group. Conclusions For elderly patients over 75 years old with hip fracture, comprehensive evaluations of surgical tolerance before operation are very important for assessing the perioperative risk and feasibility of surgery. The operative treatment is a reasonable choice, as long as the operation is well tolerated by the patients.