CAJ | 학술논문

目的：观察分析实施人工髋关节置换术治疗高龄股骨颈骨折的临床效果。方法从该院2008年4月至2011年6月收治入院的股骨颈骨折高龄患者中抽取86例，随机分为A组与B组，A组患者实施人工股骨头置换术，B组患者实施人工全髋置换术，对比观察两组患者手术情况及临床疗效。结果 A组患者手术时间、术中出血量、术后下床时间明显少于B组，术后Harris评分优良率低于B组，差异均有统计学意义（P＜0．05）。结论对高龄股骨颈骨折患者实施各种人工髋关节置换术，均具有理想的临床疗效，可根据患者情况综合考虑选择适宜术式，机体调节功能较差、手术耐受性较低的患者尤为适用人工股骨头置换术进行治疗。
목적：관찰분석실시인공관관절치환술치료고령고골경골절적림상효과。방법종해원2008년4월지2011년6월수치입원적고골경골절고령환자중추취86례，수궤분위A조여B조，A조환자실시인공고골두치환술，B조환자실시인공전관치환술，대비관찰량조환자수술정황급림상료효。결과 A조환자수술시간、술중출혈량、술후하상시간명현소우B조，술후Harris평분우량솔저우B조，차이균유통계학의의（P＜0．05）。결론대고령고골경골절환자실시각충인공관관절치환술，균구유이상적림상료효，가근거환자정황종합고필선택괄의술식，궤체조절공능교차、수술내수성교저적환자우위괄용인공고골두치환술진행치료。
Objective To observe the clinical effect of artificial hip replacement in the treatment of femoral neck fracture in the elderly patients .Methods 86 cases of elderly patients with femoral neck fracture in this hospital from 2008 April to 2011 June were enrolled ,which were divided into A group and B group randomly .The implemen-tation of artificial femoral head replacement was perfromed for patients in the A group ,the implementation of total hip arthroplasty was performed for patients in group B .Curative effect and clinical operation data was copmared be-tween the two groups .Results The operation time ,intraoperative bleeding volume and postoperative time of A group were less than B group ,the rate of postoperative Harris score was lower than that in group B ,and the difference was statistically significant (P<0 .05) .Conclusion It might have the ideal clinical curative effect for the elderly patients with femoral neck fracture in implementing various artificial hip joint replacement patients .The suitable operation shoud lbe chosen according to the the clinical situation .The artificial femoral head replacement treatment could be es-pecially suitable for patients with poor body adjustment and lower surgery tolerance .