中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
11期
33-34
,共2页
全髋关节置换术%双极人工股骨头置换术%老年股骨颈骨折%应用
全髖關節置換術%雙極人工股骨頭置換術%老年股骨頸骨摺%應用
전관관절치환술%쌍겁인공고골두치환술%노년고골경골절%응용
Total hip arthroplasty%Bipolar hemiarthroplasty%Femoral neck fracture%Application
目的：研究并分析全髋关节和双极人工股骨头置换术治疗老年股骨颈骨折的效果。方法：选择本院收治的60例老年股骨颈骨折患者为研究对象，按随机数字表法分为观察组与对照组，观察组采用全髋关节术进行治疗，对照组采用双极人工股骨头置换术进行治疗，对两组治疗疗效进行详细记录与分析。结果：两组在手术时间、术中出血量、引流量与住院时间以及手术1年优良率方面比较差异均无统计学意义（P>0.05）；两组手术第2年与第3年手术优良率组间比较差异有统计学意义（P<0.05）。结论：全髋关节置换术与双极人工股骨头置换术近期疗效相当，但全髋关节置换术的远期疗效优于双极人工股骨头置换术，该种手术方式值得在临床中推广和使用。
目的：研究併分析全髖關節和雙極人工股骨頭置換術治療老年股骨頸骨摺的效果。方法：選擇本院收治的60例老年股骨頸骨摺患者為研究對象，按隨機數字錶法分為觀察組與對照組，觀察組採用全髖關節術進行治療，對照組採用雙極人工股骨頭置換術進行治療，對兩組治療療效進行詳細記錄與分析。結果：兩組在手術時間、術中齣血量、引流量與住院時間以及手術1年優良率方麵比較差異均無統計學意義（P>0.05）；兩組手術第2年與第3年手術優良率組間比較差異有統計學意義（P<0.05）。結論：全髖關節置換術與雙極人工股骨頭置換術近期療效相噹，但全髖關節置換術的遠期療效優于雙極人工股骨頭置換術，該種手術方式值得在臨床中推廣和使用。
목적：연구병분석전관관절화쌍겁인공고골두치환술치료노년고골경골절적효과。방법：선택본원수치적60례노년고골경골절환자위연구대상，안수궤수자표법분위관찰조여대조조，관찰조채용전관관절술진행치료，대조조채용쌍겁인공고골두치환술진행치료，대량조치료료효진행상세기록여분석。결과：량조재수술시간、술중출혈량、인류량여주원시간이급수술1년우량솔방면비교차이균무통계학의의（P>0.05）；량조수술제2년여제3년수술우량솔조간비교차이유통계학의의（P<0.05）。결론：전관관절치환술여쌍겁인공고골두치환술근기료효상당，단전관관절치환술적원기료효우우쌍겁인공고골두치환술，해충수술방식치득재림상중추엄화사용。
Objective:To study and analyze the effect of total hip and bipolar hemiarthroplasty in treatment of femoral neck fractures. Method:60 patients with femoral neck fracture were randomly divided into observation group and control group,the observation group were used total hip surgery treatment,the control group were performed bipolar hemiarthroplasty treatment.The efficacy of the two groups were recorded and analyzed.Result:The difference in operative time,blood loss, drainage,hospitalization and surgery excellent ratio in the first year were not statistically significant between the two groups (P>0.05).The surgery excellent ratio in the second year and the third year of the two groups were significant difference (P<0.05). Conclusion:The short-term effect of total hip arthroplasty and bipolar hemiarthroplasty is similar,but the long-term outcome of total hip arthroplasty is better than that of bipolar hemiarthroplasty,this kind of surgical approach should be promoted and used in clinic.
