CAJ | 학술논문

目的：对比和分析人工股骨头置换术和全髋关节置换术治疗股骨颈骨折的临床疗效。方法回顾性分析2010年2月－2012年7月新疆医科大学附属中医医院骨科收治的84例股骨颈骨折患者的临床资料，其中人工股骨头置换术组（FHR 组）44例，人工全髋关节置换术组（THR 组）40例，比较两组患者的手术时间、术中出血量、术后下床活动时间、术后并发症的发生以及 Hrris 髋关节功能评分。结果 FHR 组患者的手术时间短于THR 组，术中出血量明显低于 THR 组，术后下床时间明显长于 THR 组，差异均具有统计学意义（P ＜0．05）。手术后，FHR 组患者的优良率为68．12％，明显低于 THR 组，且差异有统计学意义（P ＜0．05）。两组患者远期并发症发生率差异有统计学意义（P ＜0．05）。结论行全髋关节置换术患者术后下床活动时间早，Hrris 髋关节功能评分优于人工股骨头置换术，而且全髋关节置换术术后并发症发生率低于人工股骨头置换术。
목적：대비화분석인공고골두치환술화전관관절치환술치료고골경골절적림상료효。방법회고성분석2010년2월－2012년7월신강의과대학부속중의의원골과수치적84례고골경골절환자적림상자료，기중인공고골두치환술조（FHR 조）44례，인공전관관절치환술조（THR 조）40례，비교량조환자적수술시간、술중출혈량、술후하상활동시간、술후병발증적발생이급 Hrris 관관절공능평분。결과 FHR 조환자적수술시간단우THR 조，술중출혈량명현저우 THR 조，술후하상시간명현장우 THR 조，차이균구유통계학의의（P ＜0．05）。수술후，FHR 조환자적우량솔위68．12％，명현저우 THR 조，차차이유통계학의의（P ＜0．05）。량조환자원기병발증발생솔차이유통계학의의（P ＜0．05）。결론행전관관절치환술환자술후하상활동시간조，Hrris 관관절공능평분우우인공고골두치환술，이차전관관절치환술술후병발증발생솔저우인공고골두치환술。
Objective To compare and analyze clinical efficacy of hemiarthroplasty and total hip arthroplasty for femoral neck fracture.Methods 84 cases of femoral neck fracture patients were divided into group 1 (hemiarthroplasty,FHR)44 cases and group 2 (total hip arthroplasty,THR)40 cases.Sur-gical results of the two groups of patients were compared.Results Operative time and blood loss volume in Group 1 patients was significantly lower than that in the control group (P <0.05),and bed time was significantly shorter in group 1 than in group 2,and the difference was statistically significant (P <0.05). After surgery,the excellence rate in group 1 patients was 68.12%,significantly lower than that in group 2,and the difference was statistically significant (P <0.05).In addition,the incidence of long-term com-plications between the two groups was statistically significant (P <0.05).Conclusion Total hip arthro-plasty and femoral head arthroplasty both have their own advantages and disadvantages.We should choose proper therapy to promote the patient′s prognosis.