中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
26期
44-46
,共3页
股骨颈骨折%全髋关节置换术%内固定手术%疗效
股骨頸骨摺%全髖關節置換術%內固定手術%療效
고골경골절%전관관절치환술%내고정수술%료효
Femoral neck fractures%Total hip replacement%Internal fixation operation%Curative effect
目的：探讨中老年股骨颈骨折全髋关节置换术及骨折内固定手术临床疗效。方法：置换组患者给予全髋关节置换手术治疗；内固定组患者给予骨折内固定手术治疗。记录和比较两组患者术中出血量、手术时间、术后至下床活动时间、预后效果、住院时间、并发症发生情况、治疗费用等。结果：置换组患者手术时间、术中出血量、术后至下床活动时间、住院时间均显著少于内固定组，但其手术费较高；置换组术后并发症发生率仅为11.76%，显著低于内固定组的31.58%；两组患者近期疗效均较为满意，但置换组远期疗效显著优于内固定组（P<0.05）。结论：临床医生应根据股骨颈骨折患者实际情况，如病情、骨质疏松程度、经济情况等进行综合考虑，选择合适的治疗方案，从而有效提高患者临床疗效及预后，保障其生活质量。
目的：探討中老年股骨頸骨摺全髖關節置換術及骨摺內固定手術臨床療效。方法：置換組患者給予全髖關節置換手術治療；內固定組患者給予骨摺內固定手術治療。記錄和比較兩組患者術中齣血量、手術時間、術後至下床活動時間、預後效果、住院時間、併髮癥髮生情況、治療費用等。結果：置換組患者手術時間、術中齣血量、術後至下床活動時間、住院時間均顯著少于內固定組，但其手術費較高；置換組術後併髮癥髮生率僅為11.76%，顯著低于內固定組的31.58%；兩組患者近期療效均較為滿意，但置換組遠期療效顯著優于內固定組（P<0.05）。結論：臨床醫生應根據股骨頸骨摺患者實際情況，如病情、骨質疏鬆程度、經濟情況等進行綜閤攷慮，選擇閤適的治療方案，從而有效提高患者臨床療效及預後，保障其生活質量。
목적：탐토중노년고골경골절전관관절치환술급골절내고정수술림상료효。방법：치환조환자급여전관관절치환수술치료；내고정조환자급여골절내고정수술치료。기록화비교량조환자술중출혈량、수술시간、술후지하상활동시간、예후효과、주원시간、병발증발생정황、치료비용등。결과：치환조환자수술시간、술중출혈량、술후지하상활동시간、주원시간균현저소우내고정조，단기수술비교고；치환조술후병발증발생솔부위11.76%，현저저우내고정조적31.58%；량조환자근기료효균교위만의，단치환조원기료효현저우우내고정조（P<0.05）。결론：림상의생응근거고골경골절환자실제정황，여병정、골질소송정도、경제정황등진행종합고필，선택합괄적치료방안，종이유효제고환자림상료효급예후，보장기생활질량。
Objective:To investigate the clinical effect of fixed operation of total hip joint replacement and internal fracture of femoral neck fractures in the elderly.Method:The permutation group were treated with total hip replacement operation treatment;internal fixation group were treated with fixed operation treatment of fracture.Bleeding volume,operation time,postoperative ambulation,and prognosis,hospitalization time,complications,treatment costs of two groups were recorded and compared. Result:The operation time,intraoperative bleeding volume,postoperative to ambulation time,hospitalization time in the permutation group were significantly less than those in the internal fixation group,but its operation cost was high;the incidence rate of postoperative complications in the permutation group was 11.76%,significantly lower than 31.58%in the internal fixation group;the near future curative effect of the two group were satisfactory,but long term effect of the permutation group was significantly better than the internal fixation group(P<0.05). Conclusion:The clinician should be chosen the appropriate treatment based on the actual situation of patients with femoral neck fracture,considering such as disease,osteoporosis,economic situation,so as to improve the therapeutic effect and the prognosis of patients,guarantee the quality of life.
