中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
10期
65-67
,共3页
股骨颈骨折%髋关节置换%骨折内固定%老年
股骨頸骨摺%髖關節置換%骨摺內固定%老年
고골경골절%관관절치환%골절내고정%노년
Femoral neck fracture%Hip arthroplasty%Fracture fixation%The senile
目的：探讨髋关节置换术与骨折内固定术治疗老年股骨颈骨折的临床疗效。方法：回顾性分析2010年1月-2012年12月140例在本院行股骨颈骨折手术的老年患者的临床资料，其中全髋关节置换术38例（观察组A）、人工股骨头置换术49例（观察组B），骨折内固定53例（对照组）。比较三组的手术时间、术中出血量、住院费用和术后下床锻炼时间，随访并采用髋关节功能Harris评分评价疗效。结果：两观察组术后下床锻炼时间明显早于对照组，比较差异均有统计学意义（P<0.05）；两观察组的Harris评分明显高于对照组，比较差异均有统计学意义（P<0.05）；两观察组Harris评分优良率明显高于对照组，比较差异均有统计学意义（P<0.05）；但是对照组的手术时间术中出血量和住院费用明显低于两观察组，比较差异均有统计学意义（P<0.05）。结论：髋关节置换术和骨折内固定术均是治疗老年股骨颈骨折的有效手术方式，应根据患者状况、骨折类型制定个体化治疗方案。
目的：探討髖關節置換術與骨摺內固定術治療老年股骨頸骨摺的臨床療效。方法：迴顧性分析2010年1月-2012年12月140例在本院行股骨頸骨摺手術的老年患者的臨床資料，其中全髖關節置換術38例（觀察組A）、人工股骨頭置換術49例（觀察組B），骨摺內固定53例（對照組）。比較三組的手術時間、術中齣血量、住院費用和術後下床鍛煉時間，隨訪併採用髖關節功能Harris評分評價療效。結果：兩觀察組術後下床鍛煉時間明顯早于對照組，比較差異均有統計學意義（P<0.05）；兩觀察組的Harris評分明顯高于對照組，比較差異均有統計學意義（P<0.05）；兩觀察組Harris評分優良率明顯高于對照組，比較差異均有統計學意義（P<0.05）；但是對照組的手術時間術中齣血量和住院費用明顯低于兩觀察組，比較差異均有統計學意義（P<0.05）。結論：髖關節置換術和骨摺內固定術均是治療老年股骨頸骨摺的有效手術方式，應根據患者狀況、骨摺類型製定箇體化治療方案。
목적：탐토관관절치환술여골절내고정술치료노년고골경골절적림상료효。방법：회고성분석2010년1월-2012년12월140례재본원행고골경골절수술적노년환자적림상자료，기중전관관절치환술38례（관찰조A）、인공고골두치환술49례（관찰조B），골절내고정53례（대조조）。비교삼조적수술시간、술중출혈량、주원비용화술후하상단련시간，수방병채용관관절공능Harris평분평개료효。결과：량관찰조술후하상단련시간명현조우대조조，비교차이균유통계학의의（P<0.05）；량관찰조적Harris평분명현고우대조조，비교차이균유통계학의의（P<0.05）；량관찰조Harris평분우량솔명현고우대조조，비교차이균유통계학의의（P<0.05）；단시대조조적수술시간술중출혈량화주원비용명현저우량관찰조，비교차이균유통계학의의（P<0.05）。결론：관관절치환술화골절내고정술균시치료노년고골경골절적유효수술방식，응근거환자상황、골절류형제정개체화치료방안。
Objective:To evaluate the curative effect analysis of senile femoral neck fracture treated by the total hip arthroplasty and fracture fixation. Method:Retrospective analysis the clinical data of 170 elderly patients received femoral neck fracture surgery from January 2010 to December 2012,total hip replacement 38 cases(observation group A),artificial femoral head replacement 49 cases(observation group B),fracture internal fixation 53 cases(control group). The operation time,intraoperative blood loss,hospitalization expenses and postoperative bed time of the three groups were compared, follow-up and use the Harris hip function score evaluated the curative effect. Result:The postoperative bed time of two observation group were shorter than that of the control group,and the differences were all statistically significant(P<0.05). The Harris score of two observation group were obviously higher than that of control group,and the difference were all statistically significant(P<0.05). Harris score good rate of the two observation group were significantly higher than that of the control group,and the differences were all statistically significant(P<0.05).But the operation time,intraoperative blood loss and hospitalization costs of the control group were significantly lower than those of the two observation group,and the differences were all statistically significant(P<0.05). Conclusion:The hip arthroplasty and fracture fixation are effective surgical procedure for treatment of senile femoral neck fracture,which should make individualized treatment plan according to patients condition and the types of fracture.
