中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2008年
22期
28-29
,共2页
股骨颈骨折%老年人%全髋关节置换%内固定
股骨頸骨摺%老年人%全髖關節置換%內固定
고골경골절%노년인%전관관절치환%내고정
Femoral neck fracture%Aged%Total hip replacement%Internal fixation
目的 比较全髋关节置换术与骨折内固定术治疗老年人股骨颈骨折的疗效.方法 将1997年7月至2005年12月我院收治的156例年龄在60周岁以上有移位的股骨颈骨折患者分为两组,A组为全髋关节置换术治疗,B组为内固定术治疗.随访1.5～5年,平均3.3年.结果 两组在合并症的发生率、住院时间和伤后入院手术时间比较,差异无统计学意义(P>0.05);而并发症的发生率(A组3%,B组15%)、扶双拐下地活动时间(A组15～20 d,B组90 d)及功能评价(A组优良率91.1%,差5.5%;B组优良率71.2%,差25.8%),差异有统计学意义(P<0.05).结论 全髋关节置换术与骨折内固定术均是治疗老年股骨颈骨折的有效方法,但全髋关节置换术可提高老年人的生活质量,减低术后并发症的发生率,所以全髋关节置换术优于骨折内固定术.
目的 比較全髖關節置換術與骨摺內固定術治療老年人股骨頸骨摺的療效.方法 將1997年7月至2005年12月我院收治的156例年齡在60週歲以上有移位的股骨頸骨摺患者分為兩組,A組為全髖關節置換術治療,B組為內固定術治療.隨訪1.5～5年,平均3.3年.結果 兩組在閤併癥的髮生率、住院時間和傷後入院手術時間比較,差異無統計學意義(P>0.05);而併髮癥的髮生率(A組3%,B組15%)、扶雙枴下地活動時間(A組15～20 d,B組90 d)及功能評價(A組優良率91.1%,差5.5%;B組優良率71.2%,差25.8%),差異有統計學意義(P<0.05).結論 全髖關節置換術與骨摺內固定術均是治療老年股骨頸骨摺的有效方法,但全髖關節置換術可提高老年人的生活質量,減低術後併髮癥的髮生率,所以全髖關節置換術優于骨摺內固定術.
목적 비교전관관절치환술여골절내고정술치료노년인고골경골절적료효.방법 장1997년7월지2005년12월아원수치적156례년령재60주세이상유이위적고골경골절환자분위량조,A조위전관관절치환술치료,B조위내고정술치료.수방1.5～5년,평균3.3년.결과 량조재합병증적발생솔、주원시간화상후입원수술시간비교,차이무통계학의의(P>0.05);이병발증적발생솔(A조3%,B조15%)、부쌍괴하지활동시간(A조15～20 d,B조90 d)급공능평개(A조우량솔91.1%,차5.5%;B조우량솔71.2%,차25.8%),차이유통계학의의(P<0.05).결론 전관관절치환술여골절내고정술균시치료노년고골경골절적유효방법,단전관관절치환술가제고노년인적생활질량,감저술후병발증적발생솔,소이전관관절치환술우우골절내고정술.
Objective To compare the results of the total hip replacement (THR) and internal fixations (IF) in the treat-ment of the femoral neck fractures in aged patients. Methods One hundred fifty-six cases patients with displaced femoral neck fracture and aged over 60 years underwent either THR or IF from July, 1997 to December, 2005 were reviewed. The followed-up period ranged from 1.5-5 years (mean,3.3 years). Results In comparison of the coexisting diseases, duration of the hospital-ization and the interval from injury to surgery, there were no difference between the two groups(P >0.05). While in compari-sion of the complications (3% in THR group, 15% in IF group), ambulation time (15-20 days in THR group, 90 days in IF group) and function (91.1% of good rate and 5.5% of poor in THR group compared with 71.2% of good and 25.8% of poor in IF group), there was a significant difference (P < 0.05). Conclusion In the treatment of the displaced femoral neck fractures in aged patients,THR can avoid the nonunion and posttramatic necrosis of the femoral head, reduce the complications and im-prove the life quality in the aged patients.
