中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
12期
1783-1784
,共2页
股骨颈骨折%关节成形术%置换%髋%老年人%80以上
股骨頸骨摺%關節成形術%置換%髖%老年人%80以上
고골경골절%관절성형술%치환%관%노년인%80이상
Femoral neck fractures%Arthroplasty%replacement%hip%Aged%80 and over
目的 对比观察半髋关节置换术与全髋关节置换术治疗高龄老年人(≥85岁)股骨颈骨折的手术情况和临床疗效.方法 高龄老年人股骨颈骨折患者58例,其中39例半髋关节置换术(观察组),19例行全髋关节置换术(对照组),对比观察两组患者手术情况、住院时间、功能恢复情况及并发症等.结果 观察组患者手术时间和术中血量分别为(71.6±9.3)min、(266.8±113.5)ml,均明显少于对照组的(92.8±10.2)min、(382.7±134.6) ml(t=7.89、3.43,均P＜0.05).两组住院时间、并发症发生率及关节功能评分等差异无统计学意义(P＞0.05).结论 半髋关节置换术手术时间短、出血少,与全髋关节置换术相比较,患者可更好的耐受,因此是一种理想的手术方式.
目的 對比觀察半髖關節置換術與全髖關節置換術治療高齡老年人(≥85歲)股骨頸骨摺的手術情況和臨床療效.方法 高齡老年人股骨頸骨摺患者58例,其中39例半髖關節置換術(觀察組),19例行全髖關節置換術(對照組),對比觀察兩組患者手術情況、住院時間、功能恢複情況及併髮癥等.結果 觀察組患者手術時間和術中血量分彆為(71.6±9.3)min、(266.8±113.5)ml,均明顯少于對照組的(92.8±10.2)min、(382.7±134.6) ml(t=7.89、3.43,均P＜0.05).兩組住院時間、併髮癥髮生率及關節功能評分等差異無統計學意義(P＞0.05).結論 半髖關節置換術手術時間短、齣血少,與全髖關節置換術相比較,患者可更好的耐受,因此是一種理想的手術方式.
목적 대비관찰반관관절치환술여전관관절치환술치료고령노년인(≥85세)고골경골절적수술정황화림상료효.방법 고령노년인고골경골절환자58례,기중39례반관관절치환술(관찰조),19례행전관관절치환술(대조조),대비관찰량조환자수술정황、주원시간、공능회복정황급병발증등.결과 관찰조환자수술시간화술중혈량분별위(71.6±9.3)min、(266.8±113.5)ml,균명현소우대조조적(92.8±10.2)min、(382.7±134.6) ml(t=7.89、3.43,균P＜0.05).량조주원시간、병발증발생솔급관절공능평분등차이무통계학의의(P＞0.05).결론 반관관절치환술수술시간단、출혈소,여전관관절치환술상비교,환자가경호적내수,인차시일충이상적수술방식.
Objective To compare the operation and clinical effects of total hip arthroplasty and hemiarthroplasty in the treatment of fracture of femoral neck in elderly patients.Methods 58 elderly patients( ≥85 ) with femoral neck fracture were divided into observation group(n=39) and control group(n=19).The observation group was treated by hemiarthroplasty and the control group was treated by total hip arthroplasty.The operation time,blood loss,hospital stay,postoperative hip functional score and complications were observed and compared between the two groups.Results The operation time and blood loss of the observation group were(71.6 ±9.3)min and (266.8±113.5) ml respectively,which were significantly less than those of the control group ( t=7.89,3.43,all P ＜ 0.05 ).Therer was no significant difference of the hospital stay,postoperative hip functional score and incidence rate of complications between the two groups.Conclusion Hemiarthroplasty was an ideal rmethod in treating fracture of femoral neck in elderly patients,which was effective and simple.
