CAJ | 학술논문

目的：探讨骨水泥双动股骨头治疗透析患者股骨颈骨折的临床疗效。方法：总结8例血透患者股骨颈骨折行骨水泥双动股骨头治疗的临床资料，患者平均年龄76岁，男4例，女4例，股骨颈骨折分型均为GardnⅢ/Ⅳ型，分析术后并发症及死亡率，通过Harris评分系统评价术后髋关节功能，定期X线观察假体有无变化。结果：1例患者术后12天死于代谢性脑病，其余7例患者平均随访29个月（24个月-72个月），术后恢复行走能力，对手术疗效满意， Harris评分优2例，良3例，中1例，差1例，优良率71%，术后X线检查未发现股骨假体松动。结论：骨水泥双动股骨头是治疗透析患者股骨颈骨折的一种合理选择，细致的围手术期治疗，术后早期完全负重活动，可减少此类患者术后并发症及死亡率。
목적：탐토골수니쌍동고골두치료투석환자고골경골절적림상료효。방법：총결8례혈투환자고골경골절행골수니쌍동고골두치료적림상자료，환자평균년령76세，남4례，녀4례，고골경골절분형균위GardnⅢ/Ⅳ형，분석술후병발증급사망솔，통과Harris평분계통평개술후관관절공능，정기X선관찰가체유무변화。결과：1례환자술후12천사우대사성뇌병，기여7례환자평균수방29개월（24개월-72개월），술후회복행주능력，대수술료효만의， Harris평분우2례，량3례，중1례，차1례，우량솔71%，술후X선검사미발현고골가체송동。결론：골수니쌍동고골두시치료투석환자고골경골절적일충합리선택，세치적위수술기치료，술후조기완전부중활동，가감소차류환자술후병발증급사망솔。
Objective:To study the result of cemented hemiarthroplasty in the patients suffered femoral neck fracture with dialysis.Methods:Eight patients suffered femoral neck fracture were treated with dialysis (4 males and 4 females with the mean age of 76 years).The complications, post-operation walking activities and Harris Hip scores were assessed.Results:Seven patients have a excellent and good rate of 71% and the survival rate of prosthesis is 100% on a average of twenty-nine months.Conclusion:Cement hemiarthroplasty is a reasonable treatment for the patients suffered femoral neck fracture with dialysis.