世界最新医学信息文摘(电子版)
世界最新醫學信息文摘(電子版)
세계최신의학신식문적(전자판)
World Latest Medicine Information
2013年
9期
47-47,31
,共2页
老年%股骨颈骨折%加压螺钉%股骨头置换
老年%股骨頸骨摺%加壓螺釘%股骨頭置換
노년%고골경골절%가압라정%고골두치환
elderly%femoral neck fracture%compression screws%hemiarthroplasty
目的:探讨加压螺钉固定于股骨头置换术治疗老年股骨颈骨折的疗效。方法31例患者接受加压螺钉内固定,31例实施人工股骨头置换,比较两组病例在手术时间、术中出血及术后引流量,髋关节功能Harris评分及并发症方面的差异。结果前者在手术时间、术中出血量及术后引流量方面优于后者,但Harris评分不如后者,差异有统计学意义(P<0.05);但在术后并发症方面没有明显差异(P>0.05)。结论股骨颈骨折要根据骨折具体情况选用内固定方式或股骨头置换术,加强术后护理及康复锻炼,均可起到很好的效果。
目的:探討加壓螺釘固定于股骨頭置換術治療老年股骨頸骨摺的療效。方法31例患者接受加壓螺釘內固定,31例實施人工股骨頭置換,比較兩組病例在手術時間、術中齣血及術後引流量,髖關節功能Harris評分及併髮癥方麵的差異。結果前者在手術時間、術中齣血量及術後引流量方麵優于後者,但Harris評分不如後者,差異有統計學意義(P<0.05);但在術後併髮癥方麵沒有明顯差異(P>0.05)。結論股骨頸骨摺要根據骨摺具體情況選用內固定方式或股骨頭置換術,加彊術後護理及康複鍛煉,均可起到很好的效果。
목적:탐토가압라정고정우고골두치환술치료노년고골경골절적료효。방법31례환자접수가압라정내고정,31례실시인공고골두치환,비교량조병례재수술시간、술중출혈급술후인류량,관관절공능Harris평분급병발증방면적차이。결과전자재수술시간、술중출혈량급술후인류량방면우우후자,단Harris평분불여후자,차이유통계학의의(P<0.05);단재술후병발증방면몰유명현차이(P>0.05)。결론고골경골절요근거골절구체정황선용내고정방식혹고골두치환술,가강술후호리급강복단련,균가기도흔호적효과。
Objective To investigate the compression screw fixation in femoral arthroplasty for femoral neck fractures. Methods 31 patients were treated with compression screw ifxation, 31 cases of implementation of hemiarthroplasty compared two groups of patients in the operative time, blood loss and postoperative drainage, Harris hip score and complications differences. The former results in operative time, blood loss and postoperative drainage is better than the latter, but Harris score than the latter, the difference was statistically signiifcant (P<0.05);but there were no signiifcant differences in postoperative complications (P>0.05). Conclusion fracture of femoral neck fracture according to speciifc circumstances or internal ifxation of femoral head replacement surgery, and postoperative care and rehabilitation exercises, can play a very good effect.