中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
6期
854-855
,共2页
王振奎%孙泰安%李庆永%朱承涛%董永海
王振奎%孫泰安%李慶永%硃承濤%董永海
왕진규%손태안%리경영%주승도%동영해
股骨骨折%人工关节%骨折固定术,内%老年人
股骨骨摺%人工關節%骨摺固定術,內%老年人
고골골절%인공관절%골절고정술,내%노년인
Femoral fractures%Joint prosthesis%Fracture fixation,internal%Aged
目的 观察人工股骨头置换术治疗高龄股骨粗隆间粉碎性骨折的临床疗效.方法 120例高龄股骨粗隆间粉碎性骨折患者依据手术方式的不同分为观察组和对照组各60例,观察组采用人工股骨头置换术；对照组采用动力髋内固定术.观察比较两组术中出血量、手术时间、下床活动时间、住院时间及并发症发生率等.结果 观察组术中出血量(413.6±125.2) ml、手术时间(65.2±9.8) min与对照组的(440.5±126.3)ml、(81.2±12.1)min差异均无统计学意义(均P＞0.05).观察组下床活动时间(5.9±2.3)d、住院时间(15.6±2.6)d、并发症发生率11.7％ (7/60)与对照组的(16.4±4.2)d、(25.7±3.1)d、33.3％ (20/60)差异均有统计学意义(t =16.98、19.34,x2=8.08,均P＜0.05).结论 人工股骨头置换术治疗高龄股骨粗隆间粉碎性骨折安全性高,卧床时间短,并发症少,值得推广应用.
目的 觀察人工股骨頭置換術治療高齡股骨粗隆間粉碎性骨摺的臨床療效.方法 120例高齡股骨粗隆間粉碎性骨摺患者依據手術方式的不同分為觀察組和對照組各60例,觀察組採用人工股骨頭置換術；對照組採用動力髖內固定術.觀察比較兩組術中齣血量、手術時間、下床活動時間、住院時間及併髮癥髮生率等.結果 觀察組術中齣血量(413.6±125.2) ml、手術時間(65.2±9.8) min與對照組的(440.5±126.3)ml、(81.2±12.1)min差異均無統計學意義(均P＞0.05).觀察組下床活動時間(5.9±2.3)d、住院時間(15.6±2.6)d、併髮癥髮生率11.7％ (7/60)與對照組的(16.4±4.2)d、(25.7±3.1)d、33.3％ (20/60)差異均有統計學意義(t =16.98、19.34,x2=8.08,均P＜0.05).結論 人工股骨頭置換術治療高齡股骨粗隆間粉碎性骨摺安全性高,臥床時間短,併髮癥少,值得推廣應用.
목적 관찰인공고골두치환술치료고령고골조륭간분쇄성골절적림상료효.방법 120례고령고골조륭간분쇄성골절환자의거수술방식적불동분위관찰조화대조조각60례,관찰조채용인공고골두치환술；대조조채용동력관내고정술.관찰비교량조술중출혈량、수술시간、하상활동시간、주원시간급병발증발생솔등.결과 관찰조술중출혈량(413.6±125.2) ml、수술시간(65.2±9.8) min여대조조적(440.5±126.3)ml、(81.2±12.1)min차이균무통계학의의(균P＞0.05).관찰조하상활동시간(5.9±2.3)d、주원시간(15.6±2.6)d、병발증발생솔11.7％ (7/60)여대조조적(16.4±4.2)d、(25.7±3.1)d、33.3％ (20/60)차이균유통계학의의(t =16.98、19.34,x2=8.08,균P＜0.05).결론 인공고골두치환술치료고령고골조륭간분쇄성골절안전성고,와상시간단,병발증소,치득추엄응용.
Objective To investigate the effect of artificial femoral head replacement surgery in the treatment of elderly patients with intertrochanteric fracture.Methods There were 120 cases with intertrochanteric fracture according to the different surgical procedures,they were divided into the observation group with 60 cases and the control group of 60 cases.The observation group were taken hemiarthroplasty.The control group were taken dynamic hip fixation.The situations for the two groups of patients after surgery were compared.Results The observation group:the blood loss was (413.6 ± 125.2) ml,operative time was (65.2 ± 9.8 ) min,ambulation time was (5.9 ± 2.3 ) d,length of stay was ( 15.6 ± 2.6 ) d,complication rate was 11.7 ％.The control group:blood loss was (440.5 ± 126.3 ) ml,operative time was (81.2 ± 12.1 ) min,ambulation time was ( 16.4 ± 4.2) d,length of stay was (25.7 ± 3.1 ) d,complication rate was 33.3％.The blood loss,operative time was not different between two groups.The ambulation time,hospital stay,complication rate were significantly different.There were statistical significance ( P ＜ 0.05 ).Conclusion The hemiarthroplasty was safe,patients with weight-bearing take exercise early,and bed time was short,had less complications,and could achieve satisfied clinical results,it should be widely applied.
