CAJ | 학술논문

目的：探讨分析保留关节囊人工髋关节置换术的临床效果。方法将120例老年股骨颈骨折患者随机分为实验组和对照组，两组各占全部患者的二分之一，对实验组患者采取保留关节囊人工髋关节置换术进行救治，对照组患者则采取不保留关节囊人工髋关节置换术进行救治。检测两组的治疗效果，并进行分析。结果治疗结束后，一个月后两组的Harris评分优良率有显著的统计学差异，一年半后，评分差异无统计学意义。实验组患者的皮肤切口、手术时间、下床活动时间及弃拐时间与对照组相比差异有统计学意义(P<0.05)，实验组优于对照组。但二者在出血量、引流量两方面的差异并无统计学意义(P>0.05)。结论保留关节囊人工髋关节置换术治疗老年股骨颈骨折效果良好，值得在临床工作中推广应用。
목적：탐토분석보류관절낭인공관관절치환술적림상효과。방법장120례노년고골경골절환자수궤분위실험조화대조조，량조각점전부환자적이분지일，대실험조환자채취보류관절낭인공관관절치환술진행구치，대조조환자칙채취불보류관절낭인공관관절치환술진행구치。검측량조적치료효과，병진행분석。결과치료결속후，일개월후량조적Harris평분우량솔유현저적통계학차이，일년반후，평분차이무통계학의의。실험조환자적피부절구、수술시간、하상활동시간급기괴시간여대조조상비차이유통계학의의(P<0.05)，실험조우우대조조。단이자재출혈량、인류량량방면적차이병무통계학의의(P>0.05)。결론보류관절낭인공관관절치환술치료노년고골경골절효과량호，치득재림상공작중추엄응용。
Objective To investigate the effect replacement surgery on the basis of retention of joint capsule in the treatment of femoral neck fracture. Methods 120 cases of femoral neck fracture patients were randomly divided into experimental and control group, each half of all patients, the experimental group were taken to retain the joint capsule hip arthroplasty for treatment, the pa-tients in the control group did not take reservations capsular hip arthroplasty for treatment. Therapeutic effects were detected and analyzed. Results After the end of treatment, there was a statistically significant difference in the rate of one month after the Harris score excellent in both groups, a year and a half after the score difference was not statistically significant. Experimental group were skin incision, operation time, ambulation time and disposable Guai time compared with the control group, a statistically significant difference (P<0.05), the experimental group than the control group. But both in the amount of bleeding, cited differences between the two aspects of the traffic was not statistically significant (P> 0.05). Conclusion The effect replacement surgery on the basis of retention of joint capsule in the treatment of femoral neck fracture is remarkable, so it is worthy of application in clinical work.