CAJ | 학술논문

目的比较全髋关节置换术与股骨头置换术治疗老年股骨颈骨折的临床效果.方法回顾性分析70例行股骨头置换术(A组)和全髋关节置换术(B组)的老年股骨颈骨折患者的临床资料,比较两组的围手术期情况及近期和远期的疗效.结果 A组患者的手术时间、术中出血量明显优于B组,两组相比较差异有统计学意义(P＜0.05);两组住院时间、住院费用比较无明显差异(P＞0.05);B组并发症发生率、远期疗效优于A组,差异有统计学意义(P＜0.05).结论人工股骨头置换术和髋关节置换术是治疗老年股骨颈骨折各有优劣,应根据患者的自身情况、疾病特点等方面选择适合的手术方式.
목적 비교전관관절치환술여고골두치환술치료노년고골경골절적림상효과.방법 회고성분석70례행고골두치환술(A조)화전관관절치환술(B조)적노년고골경골절환자적림상자료,비교량조적위수술기정황급근기화원기적료효.결과 A조환자적수술시간、술중출혈량명현우우B조,량조상비교차이유통계학의의(P＜0.05);량조주원시간、주원비용비교무명현차이(P＞0.05);B조병발증발생솔、원기료효우우A조,차이유통계학의의(P＜0.05).결론 인공고골두치환술화관관절치환술시치료노년고골경골절각유우렬,응근거환자적자신정황、질병특점등방면선택괄합적수술방식.
Objecttve To compare the clinical effects of the total hip replacement and femoral head replacement treatment for femoral neck fracture in elderly patients.Methods To review and analyze the femoral neck fracture in elderly patients' clinical datas, who had the replacement of total hip( Group A )and prosthetic replacement for femoral head( Group B ).Compared two groups' perioperative period circs and the clinical effects in recent and forward.Results The surgical operation time and intra-operative amount of bleeding in Group A were more excellent than Group B, there were different statistical significance in two groups ( P ＜ 0.05 ).The length of stay and in hospitalcost in two groups, there were no statistical significance( P＞ 0.05 ).But the complication incidence rate and forward clinical effects were more excellent than GroupA, has statistical significance ( P ＜ 0.05 ).Conclusion The replacement of total hip and the prosthetic replacement for femoral head treatment for femoral neck fracture in elderly patients has good and bad of them, acording the patient's complexion and the characteristic of disease to choose the modus operandi.