CAJ | 학술논문

目的：比较人工股骨头置换和全髋关节置换术治疗骨质疏松性股骨颈骨折的临床疗效。方法回顾性分析骨质疏松性股骨颈骨折患者67例的临床资料，其中32例采用人工股骨头置换术治疗，35例采用全髋关节置换术治疗，比较两组患者的临床疗效。结果全髋关节置换术平均手术时间显著长于人工股骨头置换术组，术后输血量显著大于人工股骨头置换组（P均约0.01）。术后6个月和术后12个月全髋关节置换术患者Harris评分均显著高于人工股骨头置换术组（P<0.01）。两组并发症发生率比较差异无统计学意义（P>0.05）。结论全髋关节置换术与人工股骨头置换术比较，能够更好恢复患者髋关节功能，但其手术创伤相对较大，因此临床工作中应根据患者的具体情况选择最佳的手术方法。
목적：비교인공고골두치환화전관관절치환술치료골질소송성고골경골절적림상료효。방법회고성분석골질소송성고골경골절환자67례적림상자료，기중32례채용인공고골두치환술치료，35례채용전관관절치환술치료，비교량조환자적림상료효。결과전관관절치환술평균수술시간현저장우인공고골두치환술조，술후수혈량현저대우인공고골두치환조（P균약0.01）。술후6개월화술후12개월전관관절치환술환자Harris평분균현저고우인공고골두치환술조（P<0.01）。량조병발증발생솔비교차이무통계학의의（P>0.05）。결론전관관절치환술여인공고골두치환술비교，능구경호회복환자관관절공능，단기수술창상상대교대，인차림상공작중응근거환자적구체정황선택최가적수술방법。
Objective To compare effects between hemiarthroplasty and total hip arthroplasty for osteoporotic femoral neck fracture. Methods Clinical data of 67 cases with osteoporotic femoral neck fracture were respectively analyzed,of whom,32 cases were treated by hemiarthroplasty,and 35 cases were treated by total hip arthroplasty. Clinical efficacy of two groups was compared. Results The mean operative time of total hip arthroplasty group was longer than that in hemiarthroplasty group,and postoperative blood transfusion was more than that in hemiarthroplasty group(P all<0.01). Harris scores of total hip arthroplasty group at 6 months and 12 months after treatment were higher than those in hemi-arthroplasty group(P<0.01). Complications of two groups had no significant difference(P>0.05). Conclusion Compared with hemiarthroplasty, total hip arthroplasty for osteoporotic femoral neck fracture can recover hip function better, but its relatively surgical trauma is large, so clinical work should choose the best surgical method depending on the cir-cumstances of the patient.