CAJ | 학술논문

目的：探讨老年不稳定型粗隆间骨折患者应用股骨头置换的临床效果。方法：将2010年1月份至2013年1月收治的年龄超过70岁的60例不稳定型股骨粗隆间骨折患者以随机数字表法分为对照组与实验组，各30例。对照组患者接受锁定加压钢板内固定方法治疗，实验组患者接受人工股骨头置换术治疗，对比两组患者手术时间、出血量、并发症发生情况、治疗前后Harris评分、下床时间等各项指标。结果：实验组手术时间、出血量、并发症发生情况、下床时间等各项指标均较对照组优越( P<0.05)。治疗后Harris评分分别为(88.6±2.5)分和(72.5±1.8)分，两组比较，差异有统计学意义(P<0.05)。结论：股骨头置换治疗老年不稳定型粗隆间骨折临床治疗效果显著，可避免术后严重并发症的发生，值得临床推广。
목적：탐토노년불은정형조륭간골절환자응용고골두치환적림상효과。방법：장2010년1월빈지2013년1월수치적년령초과70세적60례불은정형고골조륭간골절환자이수궤수자표법분위대조조여실험조，각30례。대조조환자접수쇄정가압강판내고정방법치료，실험조환자접수인공고골두치환술치료，대비량조환자수술시간、출혈량、병발증발생정황、치료전후Harris평분、하상시간등각항지표。결과：실험조수술시간、출혈량、병발증발생정황、하상시간등각항지표균교대조조우월( P<0.05)。치료후Harris평분분별위(88.6±2.5)분화(72.5±1.8)분，량조비교，차이유통계학의의(P<0.05)。결론：고골두치환치료노년불은정형조륭간골절림상치료효과현저，가피면술후엄중병발증적발생，치득림상추엄。
Objective:To assess the effects of femoral head replacement ( FHR ) in elderly patients with unstable intertrochanteric fractures ( UIF) . Methods: We randomly allocated 60 elderly patients with UIF aged 70 years or greater from Xinhua Health Service Center of Huadu District, between January 2010 and 2010, to control group(n=30) and experimental group (n=30). Patients in control group received the treatment of locking compression plate fixation, and patients in the experimental group underwent artificial femoral head replacement treatment, which entailed the comparison on the duration of operation, volume of hemorrhage,postoperative complications,Harris score before and after the surgery and the time to leave the bed. Results:Compared with the control group, the experimental group was associated with superiority of efficacy in terms of the duration of operation,volume of hemorrhage,postoperative complications and time to leave the bed ( all P<0. 05). The FHR was also associated with a reduction in the Harris score (from 88.6±2.5 to 72.5±1.8,P<0.05). Conclusion: The FHR is effective for UIF in elderly patients without notable postoperative complications and deserves further application.