中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
22期
125-126,127
,共3页
人工全髋关节置换术%股骨近端防旋钉%股骨粗隆间骨折%老年
人工全髖關節置換術%股骨近耑防鏇釘%股骨粗隆間骨摺%老年
인공전관관절치환술%고골근단방선정%고골조륭간골절%노년
Total hip arthroplasty%The proximal femoral nail antirotation%Femoral intertrochanteric fracture%Old age
目的：探讨人工全髋关节置换术（total hip arthroplasty，THA）与股骨近端钉（proximal femoral nail antirotation，PFNA）在老年股骨转子间骨折的临床疗效。方法：选取本院2009年2月-2012年2月收治住院的股骨转子间骨折老年患者200例，随机分为THA组100例与PFNA组100例。THA组采用人工全髋关节置换术治疗；PFNA组采用股骨近端钉内固定术治疗。观察并对比两组患者的临床指标如手术时间、术中出血量、术中X线透视次数、下床活动时间、并发症、住院天数等，采用MedliD’Aubigne评分方法评价髋关节功能。结果：两组患者的手术时间比较差异无统计学意义（P>0.05）；THA组术中出血量较PFN组多，差异具有统计学意义（P<0.05）；THA组患者术中X线透视次数、平均术后下床活动时间、平均住院时间、并发症发生率均较PFNA组低，差异具有统计学意义（P<0.05）；THA组髋关节功能优良率比PFNA组高，差异具有统计学意义（P<0.05）。结论：人工全髋关节置换是治疗高龄患者股骨转子间骨折的重要方法，具有良好的临床疗效。
目的：探討人工全髖關節置換術（total hip arthroplasty，THA）與股骨近耑釘（proximal femoral nail antirotation，PFNA）在老年股骨轉子間骨摺的臨床療效。方法：選取本院2009年2月-2012年2月收治住院的股骨轉子間骨摺老年患者200例，隨機分為THA組100例與PFNA組100例。THA組採用人工全髖關節置換術治療；PFNA組採用股骨近耑釘內固定術治療。觀察併對比兩組患者的臨床指標如手術時間、術中齣血量、術中X線透視次數、下床活動時間、併髮癥、住院天數等，採用MedliD’Aubigne評分方法評價髖關節功能。結果：兩組患者的手術時間比較差異無統計學意義（P>0.05）；THA組術中齣血量較PFN組多，差異具有統計學意義（P<0.05）；THA組患者術中X線透視次數、平均術後下床活動時間、平均住院時間、併髮癥髮生率均較PFNA組低，差異具有統計學意義（P<0.05）；THA組髖關節功能優良率比PFNA組高，差異具有統計學意義（P<0.05）。結論：人工全髖關節置換是治療高齡患者股骨轉子間骨摺的重要方法，具有良好的臨床療效。
목적：탐토인공전관관절치환술（total hip arthroplasty，THA）여고골근단정（proximal femoral nail antirotation，PFNA）재노년고골전자간골절적림상료효。방법：선취본원2009년2월-2012년2월수치주원적고골전자간골절노년환자200례，수궤분위THA조100례여PFNA조100례。THA조채용인공전관관절치환술치료；PFNA조채용고골근단정내고정술치료。관찰병대비량조환자적림상지표여수술시간、술중출혈량、술중X선투시차수、하상활동시간、병발증、주원천수등，채용MedliD’Aubigne평분방법평개관관절공능。결과：량조환자적수술시간비교차이무통계학의의（P>0.05）；THA조술중출혈량교PFN조다，차이구유통계학의의（P<0.05）；THA조환자술중X선투시차수、평균술후하상활동시간、평균주원시간、병발증발생솔균교PFNA조저，차이구유통계학의의（P<0.05）；THA조관관절공능우량솔비PFNA조고，차이구유통계학의의（P<0.05）。결론：인공전관관절치환시치료고령환자고골전자간골절적중요방법，구유량호적림상료효。
Objective:To discuss the clinical effect of the intertrochanteric fracture treated by artificial total hip arthroplasty(THA)and proximal femoral nail antirotation(PFNA).Method:200 cases of intertrochanteric fracture in elderly patients from February 2009-February 2012 to our hospital were selected,who were randomly divided into experimental group(THA group)and control group(PFNA group),100 cases in each group.THA group were treated with artificial total hip arthroplasty;PFNA group were treated with proximal femoral antirotation nail fixation.Observed and compared the clinical indicators such as operation time,intraoperative blood loss,intraoperative X-ray fluoroscopy times,ambulation time,complications, hospitalization days,etc of the two groups,and evaluate hip joint function by MedliD ’Aubigne grading.Result:The operation time of the two groups of patients had no significant difference(P>0.05);THA loss more blood intraoperatie compared with PFN group,with significant difference(P<0.05);THA group,s intraoperative X-ray perspective,the average number of leave bed activity time,average hospital stay,postoperative complication rates were relatively lower than those of the PFNA group,with significant difference(P<0.05);THA group,s hip function was better than that of the PFNA group,with significant difference(P<0.05).Conclusion:Artificial total hip arthroplasty are important in the treatment of elderly patient’s femoral intertrochanteric fracture,which has good clinical curative effect.
