CAJ | 학술논문

目的：对人工股骨头置换与全髋关节置换术治疗老年股骨颈骨折的手术效果进行对比研究。方法选取2012年1月~2013年12月我院住院治疗的老年股骨颈骨折患者100例，分为观察组和对照组各50例，观察组行人工股骨头置换术，对照组行全髋关节置换术，应用统计学方法对两组患者的髋关节功能恢复情况、两组手术时间、出血量、术后引流量、住院时间进行比较，同时通过随访，观察两组患者的早期及远期并发症。结果观察组治疗后的优良率达80.0%，显著低于对照组治疗后的优良率(98.0%)，组间比较，差异有统计学意义(P<0.05)。观察组的手术时间、住院时间显著短于对照组(P<0.05)。观察组的出血量、术后引流量均显著少于对照组(P<0.01)。两组早期并发症的发生率比较，差异无统计学意义(10.0%vs12.0%，P跃0.05)。观察组患者的远期并发症发生率高于对照组，差异有统计学意义(12.0%vs4.0%，P<0.05)。结论人工股骨头置换术、全髋关节置换术治疗股骨颈骨折各具优势，但综合疗效来看，人工股骨头置换手术时间短、创伤小等优点，全髋关节置换术远期疗效优于人工股骨头置换，且无髋臼磨损等并发症发生，全髋关节置换术较人工股骨头置换术具有一定的优势。
목적：대인공고골두치환여전관관절치환술치료노년고골경골절적수술효과진행대비연구。방법선취2012년1월~2013년12월아원주원치료적노년고골경골절환자100례，분위관찰조화대조조각50례，관찰조행인공고골두치환술，대조조행전관관절치환술，응용통계학방법대량조환자적관관절공능회복정황、량조수술시간、출혈량、술후인류량、주원시간진행비교，동시통과수방，관찰량조환자적조기급원기병발증。결과관찰조치료후적우량솔체80.0%，현저저우대조조치료후적우량솔(98.0%)，조간비교，차이유통계학의의(P<0.05)。관찰조적수술시간、주원시간현저단우대조조(P<0.05)。관찰조적출혈량、술후인류량균현저소우대조조(P<0.01)。량조조기병발증적발생솔비교，차이무통계학의의(10.0%vs12.0%，P약0.05)。관찰조환자적원기병발증발생솔고우대조조，차이유통계학의의(12.0%vs4.0%，P<0.05)。결론인공고골두치환술、전관관절치환술치료고골경골절각구우세，단종합료효래간，인공고골두치환수술시간단、창상소등우점，전관관절치환술원기료효우우인공고골두치환，차무관구마손등병발증발생，전관관절치환술교인공고골두치환술구유일정적우세。
Objective To explore the effect of artificial femoral head replacement and total hip arthroplasty in treatment of elderly femoral neck fractures. Methods From January 2012 to December 2013 in our hospital 100 cases patients with elderly femoral neck fractures were selected according to the different treatment methods and were randomly divided into two groups, 50 cases in each group, The observation group patients treated with artificial femoral head replace-ment, the control group underwent total hip arthroplasty, the hip function recovery, two groups of patients with operation time, bleeding volume, postoperative drainage volume, duration of hospitalization and early or long-term complications were compared. Results The excellent and good rate of the observation group after treatment was 80.0%, was significantly lower than the control group after treatment (98.0%), the difference was statistically significant (P<0.05). The operative time, hospitalization in observation groups were shorter than the control group, the difference was statistically significant (P<0.05). The bleeding volume, postoperative drainage volume in observation group were significantly less than the control group, there was significant statistical difference (P<0.01). Early complications incidence rate of two groups had no significant statistical difference (10.0% vs 12.0%,P>0.05), long-term complications incidence rate of obser vation group was higher than that of the control group, the difference was statistically significant(12.0%vs 4.0%, P<0.05). Conclusion Artificial femoral head replacement and total hip have their own advantages in treatment of femoral neck fracture, arthroplasty, but the comprehensive effect, artificial femoral head replacement have the advantages of shorter operation time, less trauma, the long-term results after total hip replacement is superior to the artificial replacement of the femoral head, and no acetabular wear and other complications, total hip arthroplasty has certain advantages than ar-tificial femoral arthroplasty.