中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
19期
2922-2923
,共2页
股骨颈骨折%关节成型术,置换,髋%股骨头%人工关节%老年人
股骨頸骨摺%關節成型術,置換,髖%股骨頭%人工關節%老年人
고골경골절%관절성형술,치환,관%고골두%인공관절%노년인
Femoral neck fractures%Arthroplasty,replacement,hip%Femur head%Joint prosthesis%Aged total hemiarthroplasty%elderly displaced
目的：比较全髋关节置换术（ THR）与人工股骨头置换术治疗老年人移位性股骨颈骨折的临床疗效。方法将83例老年移位性股骨颈骨折患者按照入院先后顺序分为两组，对照组53例采取人工股骨头置换术，观察组30例采取THR，比较两组临床疗效及手术和并发症发生情况。结果观察组优良率90．00％（27/30），显著高于对照组的79．25％（42/53）（χ2＝11．23，P＜0．05）；观察组手术时间、术中出血量及术后引流量分别为（145．33±6．21）min、（575．65±26．84）mL和（278．51±14．15）mL，显著多于对照组的（80．12±5.36）min、（322．52±25．34）mL和（185．46±12．48）mL（t＝9．56、8．83、10．03，均P＜0．05）；观察组并发症发生率为10．00％（3/30），显著低于对照组的22．64％（12/53）（χ2＝12．16，P＜0．05）。结论 THR治疗老年人移位性股骨颈骨折疗效显著，患者关节功能恢复好且并发症发生率低，可作为临床治疗的首选方案。
目的：比較全髖關節置換術（ THR）與人工股骨頭置換術治療老年人移位性股骨頸骨摺的臨床療效。方法將83例老年移位性股骨頸骨摺患者按照入院先後順序分為兩組，對照組53例採取人工股骨頭置換術，觀察組30例採取THR，比較兩組臨床療效及手術和併髮癥髮生情況。結果觀察組優良率90．00％（27/30），顯著高于對照組的79．25％（42/53）（χ2＝11．23，P＜0．05）；觀察組手術時間、術中齣血量及術後引流量分彆為（145．33±6．21）min、（575．65±26．84）mL和（278．51±14．15）mL，顯著多于對照組的（80．12±5.36）min、（322．52±25．34）mL和（185．46±12．48）mL（t＝9．56、8．83、10．03，均P＜0．05）；觀察組併髮癥髮生率為10．00％（3/30），顯著低于對照組的22．64％（12/53）（χ2＝12．16，P＜0．05）。結論 THR治療老年人移位性股骨頸骨摺療效顯著，患者關節功能恢複好且併髮癥髮生率低，可作為臨床治療的首選方案。
목적：비교전관관절치환술（ THR）여인공고골두치환술치료노년인이위성고골경골절적림상료효。방법장83례노년이위성고골경골절환자안조입원선후순서분위량조，대조조53례채취인공고골두치환술，관찰조30례채취THR，비교량조림상료효급수술화병발증발생정황。결과관찰조우량솔90．00％（27/30），현저고우대조조적79．25％（42/53）（χ2＝11．23，P＜0．05）；관찰조수술시간、술중출혈량급술후인류량분별위（145．33±6．21）min、（575．65±26．84）mL화（278．51±14．15）mL，현저다우대조조적（80．12±5.36）min、（322．52±25．34）mL화（185．46±12．48）mL（t＝9．56、8．83、10．03，균P＜0．05）；관찰조병발증발생솔위10．00％（3/30），현저저우대조조적22．64％（12/53）（χ2＝12．16，P＜0．05）。결론 THR치료노년인이위성고골경골절료효현저，환자관절공능회복호차병발증발생솔저，가작위림상치료적수선방안。
Objective To investigate the effect total hip arthroplasty and hemiarthroplasty in treatment of displaced femoral neck fractures in elderly .Methods 83 cases of elderly patients with displaced femoral neck fractures were divided into two groups according the order randomly.The control group(n=53) was given hemiarthroplasty while the observation group ( n=30) took total hip arthroplasty .The clinical efficacy and occurrence of complications after surgery were compared.Results The observation group excellent rate was 90.00%(27/30), significantly higher than the 79.25%(42/53) (χ2 =11.23,P<0.05);The observation group′s operative time,blood loss and postoperative drainage were (145.33 ±6.21)min,(575.65 ±26.84)mL and (278.51 ±14.15)mL,which was more than the control group(80.12 ±5.36)min,(322.52 ±25.34)mL and (185.46 ±12.48)mL significantly(t=9.56, 8.83,10.03,all P<0.05);The observation group′s incidence of complications was 10.00%(3/30),which was sig-nificantly lower than the control group′s 22.64%(12/53) (χ2 =12.16,P <0.05).Conclusion The total hip arthroplasty has a significant effect in the treatment of femoral neck fractures in elderly ,patients have good recovery of joint function with a low incidence of complications which can be used as the preferred solution for clinical treatment .
