中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
10期
46-49
,共4页
老年股骨颈骨折%全髋关节置换术%人工股骨头置换术
老年股骨頸骨摺%全髖關節置換術%人工股骨頭置換術
노년고골경골절%전관관절치환술%인공고골두치환술
Femoral neck fractures%Total hip arthroplasty%Artificial femoral head replacement
目的：对比全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的临床疗效。方法选取我院2009年6月~2014年6月收治的老年股骨颈骨折患者100例作为研究对象，年龄均≥60岁，均签署知情同意书。全部入选的老年股骨颈骨折患者分为A组和B组，各50例，A组行全髋关节置换术，B组行人工股骨头置换术。结果所有患者均术后随访1年，随访率100%。 A组术后髋关节功能的优良率达84%，B组术后髋关节功能的优良率达62%，两组差异存在显著性（χ2=6.329，P<0.05）。术后随访3、6个月显示，A组的Harris评分术后6个月较术后3个月显著提高，且A组的Harris评分术后3个月、6个月分别高于B组，差异存在显著性（P<0.05）。A组患者的手术时间显著长于B组，A组的术中出血量、术后引流量显著多于B组，差异存在显著性（P<0.05）。A组患者并发症发生率与B组比较，差异不存在显著性（P>0.05）。结论全髋关节置换术与人工股骨头置换术均为治疗老年股骨颈骨折的有效方法之一，各具优缺点，治疗老年股骨颈骨折需根据患者的具体情况适时、合理选择治疗方法，以尽快缓解患者疼痛，减少股骨颈骨折严重并发症发生，降低死亡率。
目的：對比全髖關節置換術與人工股骨頭置換術治療老年股骨頸骨摺的臨床療效。方法選取我院2009年6月~2014年6月收治的老年股骨頸骨摺患者100例作為研究對象，年齡均≥60歲，均籤署知情同意書。全部入選的老年股骨頸骨摺患者分為A組和B組，各50例，A組行全髖關節置換術，B組行人工股骨頭置換術。結果所有患者均術後隨訪1年，隨訪率100%。 A組術後髖關節功能的優良率達84%，B組術後髖關節功能的優良率達62%，兩組差異存在顯著性（χ2=6.329，P<0.05）。術後隨訪3、6箇月顯示，A組的Harris評分術後6箇月較術後3箇月顯著提高，且A組的Harris評分術後3箇月、6箇月分彆高于B組，差異存在顯著性（P<0.05）。A組患者的手術時間顯著長于B組，A組的術中齣血量、術後引流量顯著多于B組，差異存在顯著性（P<0.05）。A組患者併髮癥髮生率與B組比較，差異不存在顯著性（P>0.05）。結論全髖關節置換術與人工股骨頭置換術均為治療老年股骨頸骨摺的有效方法之一，各具優缺點，治療老年股骨頸骨摺需根據患者的具體情況適時、閤理選擇治療方法，以儘快緩解患者疼痛，減少股骨頸骨摺嚴重併髮癥髮生，降低死亡率。
목적：대비전관관절치환술여인공고골두치환술치료노년고골경골절적림상료효。방법선취아원2009년6월~2014년6월수치적노년고골경골절환자100례작위연구대상，년령균≥60세，균첨서지정동의서。전부입선적노년고골경골절환자분위A조화B조，각50례，A조행전관관절치환술，B조행인공고골두치환술。결과소유환자균술후수방1년，수방솔100%。 A조술후관관절공능적우량솔체84%，B조술후관관절공능적우량솔체62%，량조차이존재현저성（χ2=6.329，P<0.05）。술후수방3、6개월현시，A조적Harris평분술후6개월교술후3개월현저제고，차A조적Harris평분술후3개월、6개월분별고우B조，차이존재현저성（P<0.05）。A조환자적수술시간현저장우B조，A조적술중출혈량、술후인류량현저다우B조，차이존재현저성（P<0.05）。A조환자병발증발생솔여B조비교，차이불존재현저성（P>0.05）。결론전관관절치환술여인공고골두치환술균위치료노년고골경골절적유효방법지일，각구우결점，치료노년고골경골절수근거환자적구체정황괄시、합리선택치료방법，이진쾌완해환자동통，감소고골경골절엄중병발증발생，강저사망솔。
Objective To compare the effect of total hip replacement and artificial femoral head replacement in treat-ment of femoral neck fractures in senile patients. Methods All 100 patients were selected as the research object in our hospital from 2009 June to 2014 June, all aged over 60 years old, signed the informed consent. The patients were di-vided into A group and B group,with 50 cases in each group,group A underwent total hip arthroplasty,group B under-went artificial femoral head replacement. Results All the patients were follow-up for 1 years,the follow-up rate A was 100%. The excellent rate of hip joint function after operation in group A was 84%, the excellent rate in B group was 62%,there were significant differences (χ2=6.329,P<0.05). Display the postoperative follow-up of 3, 6 months, the Harris score in group A after 6 months compared with after surgery 3 months significantly increased, and the Harris score in group A after 3 months,6 months were higher than that of group B,there were significant differences(P<0.05). Operation time of A group were significantly longer than those of group B,the amount of bleeding,postoperative group A after drainage were significantly more than that in group B, the difference was significant(P<0.05). The incidence of complications of group A and B, with no significant difference (P>0.05). Conclusion Total hip arthroplasty and hemiarthroplasty was one of effective methods to treat femoral neck fractures in the elderly, the advantages and disad-vantages of each, the treatment of senile femoral neck according to the specific circumstances of patients timely, rea-sonable selection of treatment method of the bone fracture, as soon as possible to relieve pain, reduce the femoral neck fracture serious complications,reduce the mortality rate.
