中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
15期
20-21
,共2页
全髋关节置换术%人工股骨头置换术%老年%股骨颈骨折
全髖關節置換術%人工股骨頭置換術%老年%股骨頸骨摺
전관관절치환술%인공고골두치환술%노년%고골경골절
Total hip replacement%Artificial femoral head replacement%Old age%Femoral neck fracture
目的：探讨全髋关节置换术和人工股骨头置换术在治疗老年股骨颈骨折中的疗效差别。方法：选取笔者所在医院老年股骨颈骨折患者176例，随机分为试验组和对照组，试验组使用全髋关节置换术治疗，对照组使用人工股骨头置换术治疗，观察对比两组手术时间、术后出血量、术后引流量、住院时间以及两组Harris评分和优良率。结果：试验组手术时间明显长于对照组，术后出血量和术后引流量较对照组多，两组比较差异有统计学意义(P<0.05)，试验组住院时间长于对照组，两组比较差异有统计学意义(P<0.05)。术后1年试验组和对照组的Harris评分以及优良率比较差异无统计学意义(P>0.05)，但在术后3年和术后5年两组Harris评分以及优良率比较，试验组明显高于对照组，差异有统计学意义(P<0.05)。结论：两种术式各有优点，人工股骨头置换术创伤小、手术时间短、出血量和术后引流量较少、住院时间短，但全髋关节置换术在远期疗效上要优于人工股骨头置换术。
目的：探討全髖關節置換術和人工股骨頭置換術在治療老年股骨頸骨摺中的療效差彆。方法：選取筆者所在醫院老年股骨頸骨摺患者176例，隨機分為試驗組和對照組，試驗組使用全髖關節置換術治療，對照組使用人工股骨頭置換術治療，觀察對比兩組手術時間、術後齣血量、術後引流量、住院時間以及兩組Harris評分和優良率。結果：試驗組手術時間明顯長于對照組，術後齣血量和術後引流量較對照組多，兩組比較差異有統計學意義(P<0.05)，試驗組住院時間長于對照組，兩組比較差異有統計學意義(P<0.05)。術後1年試驗組和對照組的Harris評分以及優良率比較差異無統計學意義(P>0.05)，但在術後3年和術後5年兩組Harris評分以及優良率比較，試驗組明顯高于對照組，差異有統計學意義(P<0.05)。結論：兩種術式各有優點，人工股骨頭置換術創傷小、手術時間短、齣血量和術後引流量較少、住院時間短，但全髖關節置換術在遠期療效上要優于人工股骨頭置換術。
목적：탐토전관관절치환술화인공고골두치환술재치료노년고골경골절중적료효차별。방법：선취필자소재의원노년고골경골절환자176례，수궤분위시험조화대조조，시험조사용전관관절치환술치료，대조조사용인공고골두치환술치료，관찰대비량조수술시간、술후출혈량、술후인류량、주원시간이급량조Harris평분화우량솔。결과：시험조수술시간명현장우대조조，술후출혈량화술후인류량교대조조다，량조비교차이유통계학의의(P<0.05)，시험조주원시간장우대조조，량조비교차이유통계학의의(P<0.05)。술후1년시험조화대조조적Harris평분이급우량솔비교차이무통계학의의(P>0.05)，단재술후3년화술후5년량조Harris평분이급우량솔비교，시험조명현고우대조조，차이유통계학의의(P<0.05)。결론：량충술식각유우점，인공고골두치환술창상소、수술시간단、출혈량화술후인류량교소、주원시간단，단전관관절치환술재원기료효상요우우인공고골두치환술。
Objective:To study the curative effect difference of artificial femoral head replacement and total hip replacement in the treatment of senile femoral neck fracture.Method:176 cases of elderly patients with femoral neck fracture in our hospital were randomly divided into experimental group and control group,experimental group treated with total hip replacement,and the control group used artificial femoral head replacement treatment,the operation time, blood loss,postoperative flow rate,length of hospital stay and postoperative Harris score in the two groups were compared.Result:The operation time in the experimental group was significantly longer than that in the control group,postoperative blood loss and postoperative flow in the experimental group were more than that in the control group,the differences between the two groups were statistical significance(P<0.05),the hospital stay in the experimental group was longer than that in the control group,the difference was statistically significant(P<0.05).After 1 year,the postoperative Harris rating of the experimental group compared with the control group was no significant difference(P>0.05),but after 3 years and 5 years,postoperative Harris rating and good ratings in the experimental group were significantly higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The two kinds of operative methods have their own advantages,artificial femoral head replacement are small trauma,shorter operation time,less blood loss and postoperative led traffic,and shorter hospitalization time,but the total hip replacement on the long-term curative effect is more superior than the artificial femoral head replacement.
