中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2014年
5期
2745-2746
,共2页
股骨颈骨折%人工双极股骨头%骨水泥%股骨头置换
股骨頸骨摺%人工雙極股骨頭%骨水泥%股骨頭置換
고골경골절%인공쌍겁고골두%골수니%고골두치환
Femoral neck fracture%Artificial bipolar femoral head%Bone cement%Femoral head replacement
目的：探讨骨水泥型人工双极股骨头置换治疗老年人股骨颈骨折的疗效。方法：我院2009-12至2012-12共收治并采用骨水泥型人工双极股骨头置换治疗老年人股骨颈骨折患者46例，其中，男性15例，女性31例，年龄在65—91岁之间，平均78.8岁；左侧19例，右侧27例，均为单侧股骨颈骨折；致伤原因：摔伤所致35例，交通事故所致11例。骨折按Garden分型：Ⅲ型33例，Ⅳ13例。通过手术时间，出血量及术后肢体功能Harris评分等，评价手术效果。结果：46例患者全部获得随访，随访时间为6-36个月，平均20.5个月。假体松动2例，肺内感染2例，股骨头脱位1例，并发症发生率为：11%；经处理后，患者痊愈。所有患者肢体功能恢复良好。术前Harris评分：43.2±8.3分，术后6个月及12个月分别为91.4±3.2分93.2±4.6分，较置换前明显提高，P＜0.01，差异有统计学意义。结论：骨水泥型人工双极股骨头置换治疗老年人股骨颈骨折具有固定牢固，返修率小，术后并发症少，肢体功能恢复良好等优点，是治疗该类疾病一种较为良好的选择。
目的：探討骨水泥型人工雙極股骨頭置換治療老年人股骨頸骨摺的療效。方法：我院2009-12至2012-12共收治併採用骨水泥型人工雙極股骨頭置換治療老年人股骨頸骨摺患者46例，其中，男性15例，女性31例，年齡在65—91歲之間，平均78.8歲；左側19例，右側27例，均為單側股骨頸骨摺；緻傷原因：摔傷所緻35例，交通事故所緻11例。骨摺按Garden分型：Ⅲ型33例，Ⅳ13例。通過手術時間，齣血量及術後肢體功能Harris評分等，評價手術效果。結果：46例患者全部穫得隨訪，隨訪時間為6-36箇月，平均20.5箇月。假體鬆動2例，肺內感染2例，股骨頭脫位1例，併髮癥髮生率為：11%；經處理後，患者痊愈。所有患者肢體功能恢複良好。術前Harris評分：43.2±8.3分，術後6箇月及12箇月分彆為91.4±3.2分93.2±4.6分，較置換前明顯提高，P＜0.01，差異有統計學意義。結論：骨水泥型人工雙極股骨頭置換治療老年人股骨頸骨摺具有固定牢固，返脩率小，術後併髮癥少，肢體功能恢複良好等優點，是治療該類疾病一種較為良好的選擇。
목적：탐토골수니형인공쌍겁고골두치환치료노년인고골경골절적료효。방법：아원2009-12지2012-12공수치병채용골수니형인공쌍겁고골두치환치료노년인고골경골절환자46례，기중，남성15례，녀성31례，년령재65—91세지간，평균78.8세；좌측19례，우측27례，균위단측고골경골절；치상원인：솔상소치35례，교통사고소치11례。골절안Garden분형：Ⅲ형33례，Ⅳ13례。통과수술시간，출혈량급술후지체공능Harris평분등，평개수술효과。결과：46례환자전부획득수방，수방시간위6-36개월，평균20.5개월。가체송동2례，폐내감염2례，고골두탈위1례，병발증발생솔위：11%；경처리후，환자전유。소유환자지체공능회복량호。술전Harris평분：43.2±8.3분，술후6개월급12개월분별위91.4±3.2분93.2±4.6분，교치환전명현제고，P＜0.01，차이유통계학의의。결론：골수니형인공쌍겁고골두치환치료노년인고골경골절구유고정뢰고，반수솔소，술후병발증소，지체공능회복량호등우점，시치료해류질병일충교위량호적선택。
Objective:To report and discuss The curative effect of surgical treatment with Bone cement type artificial bipolar femoral head replacement for Femoral neck fracture in the elderly patients.Method:From December 2009 to December 2012,46 cases with Femoral neck fractures in the elderly patients were treated with Bone cement type artificial bipolar femoral head replacement in our hospital, Including 15 males and 31 females ,with an average of 78.8 years old .(range,65 to 91 years old).19 cases in the left,27 cases in the right. And al the cases were unilateral fractures. The causes of injury:35 cases were related to fal ing ,11 cases were related to traffic accident. According to Garden classification ,33 cases were of typeⅢ, 14 cases were of typeⅣ. Evaluate the curative effect by the times and the bleeding in the operations and Harris score and so on. Result:Al the cases were fol owed up for an average of 20.5 months (range, 6 to 36 months). 2 cases were Prosthesis loosened 、2 cases were The lungs infection and 1 case was Femoral head dislocation , The incidence of complications:11% ;After treated, the 5 patients were cured. The functions of the wounded legs were recovered. Harris score: before operation: 43.2±8.3, after operation: 91.4±3.2(6 months) and 93.2±4.6 (12 months) , P<0.01,The difference was statistical y significant. Conclusion:Bone cement type artificial bipolar femoral head replacement for Femoral neck fracture in the elderly patients have the advantages:Fixed tightly 、Smal Repair rate 、Less postoperative complications and Wel Limb function recovery,which is a best choice to the Femoral neck fracture .
