当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
18期
106-107
,共2页
半髋置换%DHS%老年转子间骨折%负重活动
半髖置換%DHS%老年轉子間骨摺%負重活動
반관치환%DHS%노년전자간골절%부중활동
Half hip replacement%DHS%Elderly intertrochanteric fractures%Weight-bearing activities
目的观察比较半髋置换与DHS治疗老年转子间骨折的临床疗效，总结其临床治疗经验和临床意义。方法选取2007年12月-2011年12月收治的老年转子间骨折患者118例为研究对象，按照数字表随机抽取法分成观察组与对照组，每组各有59例，观察组给予半髋关节置换治疗，对照组给予DHS治疗，观察对比两组患者的术中出血量、手术时间、最早负重时间，术前、术后3、6、12个月的髋关节功能Harris评分，术后并发症发生率。结果观察组术中出血量、手术时间、最早负重时间与对照组相比存在明显差异（P＜0.05），具有统计学意义；两组术后3、6、12个月的髋关节功能Harris评分与术前相比有明显下降，观察组下降幅度更为显著（P＜0.05），具有统计学意义。结论半髋关节置换治疗老年转子间骨折的临床疗效确切，不仅能够促进骨愈合，还能满足早期完全负重活动，加快功能恢复，同时并发症发生率低，手术时间短，术中出血少，安全可靠，值得临床上推广并应用。
目的觀察比較半髖置換與DHS治療老年轉子間骨摺的臨床療效，總結其臨床治療經驗和臨床意義。方法選取2007年12月-2011年12月收治的老年轉子間骨摺患者118例為研究對象，按照數字錶隨機抽取法分成觀察組與對照組，每組各有59例，觀察組給予半髖關節置換治療，對照組給予DHS治療，觀察對比兩組患者的術中齣血量、手術時間、最早負重時間，術前、術後3、6、12箇月的髖關節功能Harris評分，術後併髮癥髮生率。結果觀察組術中齣血量、手術時間、最早負重時間與對照組相比存在明顯差異（P＜0.05），具有統計學意義；兩組術後3、6、12箇月的髖關節功能Harris評分與術前相比有明顯下降，觀察組下降幅度更為顯著（P＜0.05），具有統計學意義。結論半髖關節置換治療老年轉子間骨摺的臨床療效確切，不僅能夠促進骨愈閤，還能滿足早期完全負重活動，加快功能恢複，同時併髮癥髮生率低，手術時間短，術中齣血少，安全可靠，值得臨床上推廣併應用。
목적관찰비교반관치환여DHS치료노년전자간골절적림상료효，총결기림상치료경험화림상의의。방법선취2007년12월-2011년12월수치적노년전자간골절환자118례위연구대상，안조수자표수궤추취법분성관찰조여대조조，매조각유59례，관찰조급여반관관절치환치료，대조조급여DHS치료，관찰대비량조환자적술중출혈량、수술시간、최조부중시간，술전、술후3、6、12개월적관관절공능Harris평분，술후병발증발생솔。결과관찰조술중출혈량、수술시간、최조부중시간여대조조상비존재명현차이（P＜0.05），구유통계학의의；량조술후3、6、12개월적관관절공능Harris평분여술전상비유명현하강，관찰조하강폭도경위현저（P＜0.05），구유통계학의의。결론반관관절치환치료노년전자간골절적림상료효학절，불부능구촉진골유합，환능만족조기완전부중활동，가쾌공능회복，동시병발증발생솔저，수술시간단，술중출혈소，안전가고，치득림상상추엄병응용。
Objective To observe the comparative half hip replacement clinical efficacy for the treatment of senile intertrochanteric fracture with DHS, summarize the clinical experience and clinical significance. Methods in our hospital from December 2007 to December 2011 elderly intertrochanteric fractures of 118 patients, divided into observation group and control group randomly selected method in accordance with the digital table, each of the 59 cases, the observation group hemiarthroplasty treatment control group treated with DHS, observed comparing the two groups of patients with blood loss, operative time, the earliest loading time, preoperative Harris hip score of 3, 6, and 12 months after hip function, postoperative complications incidence. Results The amount of bleeding, operative time, the earliest load time compared to the control group, there are significant differences (P<0.05), with a statistically significant; postoperative 3, 6, and 12 months The Harris hip score compared with before surgery have decreased significantly, the decline of the observation group was more significant (P<0.05), with statistical significance. Conclusion The use of hemiarthroplasty treatment of senile intertrochanteric fracture clinical efficacy, not only to promote bone healing, but also to meet early full weight bearing activities, to speed up the recovery of function, while low complication rate, shorter operative time, less blood loss , safe and reliable, worthy of clinical promotion and application.
