中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
z1期
63-65
,共3页
股骨转子间骨折%人工髋关节置换%骨质疏松
股骨轉子間骨摺%人工髖關節置換%骨質疏鬆
고골전자간골절%인공관관절치환%골질소송
Intertrochanteric fracture%Hip arthroplasty%Osteoporosis
目的 通过对比人工髋关节置换术与传统动力加压髋螺钉(DHS)治疗高龄患者股骨转子间不稳定性骨折的疗效,分析人工髋关节置换术的优势.方法 回顾分析2010年5月至2012年7月62例高龄股骨转子间不稳定性骨折患者的临床资料,男25例,女37例;年龄70～92(78.81±4.92)岁,左侧43例,右侧19例.按患者意愿分组:DHS内固定组17例,关节置换组45例.比较两组的疗效.结果 入选病例随访时间均在1年以上.关节置换组在住院时间、手术时间、术中出血量、术后卧床时间及术后并发症方面明显优于DHS内固定组,差异有统计学意义(P＜0.05).结论 人工髋关节置换治疗高龄股骨转子间不稳定性骨折在多方面具有明显优势.
目的 通過對比人工髖關節置換術與傳統動力加壓髖螺釘(DHS)治療高齡患者股骨轉子間不穩定性骨摺的療效,分析人工髖關節置換術的優勢.方法 迴顧分析2010年5月至2012年7月62例高齡股骨轉子間不穩定性骨摺患者的臨床資料,男25例,女37例;年齡70～92(78.81±4.92)歲,左側43例,右側19例.按患者意願分組:DHS內固定組17例,關節置換組45例.比較兩組的療效.結果 入選病例隨訪時間均在1年以上.關節置換組在住院時間、手術時間、術中齣血量、術後臥床時間及術後併髮癥方麵明顯優于DHS內固定組,差異有統計學意義(P＜0.05).結論 人工髖關節置換治療高齡股骨轉子間不穩定性骨摺在多方麵具有明顯優勢.
목적 통과대비인공관관절치환술여전통동력가압관라정(DHS)치료고령환자고골전자간불은정성골절적료효,분석인공관관절치환술적우세.방법 회고분석2010년5월지2012년7월62례고령고골전자간불은정성골절환자적림상자료,남25례,녀37례;년령70～92(78.81±4.92)세,좌측43례,우측19례.안환자의원분조:DHS내고정조17례,관절치환조45례.비교량조적료효.결과 입선병례수방시간균재1년이상.관절치환조재주원시간、수술시간、술중출혈량、술후와상시간급술후병발증방면명현우우DHS내고정조,차이유통계학의의(P＜0.05).결론 인공관관절치환치료고령고골전자간불은정성골절재다방면구유명현우세.
Objective To explore the efficacy of the treatment of unstable intertrochanteric fracture of aging people using hip arthroplasty by comparison with the use of DHS internal fixation.Methods Retrospective analysis was performed that 62 patients were involved including 24 cases of male and female 37 cases:aged 70 to 92,an average of (78.81 ±4.92) years,on the left side of the 43 cases,19 cases on the right side and 17 cases of DHS internal fixation,45 cases joint replacement during May 2010 to July 2012.Results All cases were followed up more than 1 year.Statistical analysis of observation indexes of two groups were made including the length of hospital stay,operation time,intraoperative blood loss,postoperative bed time and postoperative complications.The results show that the hip arthroplasty group was significantly superior tothe DHS internal fixation group (P ＜ 0.05).Conclusion Artificial hip replacement for treatment of unstable intertrochanteric fracture of senior person has obvious advantages.
