CAJ | 학술논문

目的：比较全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的临床疗效。方法将76例老年股骨颈骨折患者按照随机、自愿的原则分为对照组和观察组，每组38例。对照组患者给予半髋关节置换术治疗，观察组患者给予全髋关节置换术治疗，比较两组患者的手术时间、术中出血量、住院时间、术后并发症发生情况及Harris关节评分。结果两组患者手术时间、术中出血量、住院时间及术后并发症发生情况比较差异未见统计学意义（ P均>0.05）。观察组 Harris关节评分优良率（81.6%）明显高于对照组（52.6%），差异有统计学意义（χ2=9.482，P<0.05）。结论全髋关节置换术治疗老年股骨颈骨折临床疗效显著，值得在临床推广应用。
목적：비교전관관절치환술화반관관절치환술치료노년고골경골절적림상료효。방법장76례노년고골경골절환자안조수궤、자원적원칙분위대조조화관찰조，매조38례。대조조환자급여반관관절치환술치료，관찰조환자급여전관관절치환술치료，비교량조환자적수술시간、술중출혈량、주원시간、술후병발증발생정황급Harris관절평분。결과량조환자수술시간、술중출혈량、주원시간급술후병발증발생정황비교차이미견통계학의의（ P균>0.05）。관찰조 Harris관절평분우량솔（81.6%）명현고우대조조（52.6%），차이유통계학의의（χ2=9.482，P<0.05）。결론전관관절치환술치료노년고골경골절림상료효현저，치득재림상추엄응용。
Objective To compare the clinical effects of total hip replacement arthroplasty and semi-hip replace-ment arthroplasty on elderly patients with femoral neck fracture. Methods Seventy-six patients with femoral neck fracture were randomly and voluntarily divided into the control group( n=38 )and observation group( n=38 ). The control group were treated by semi-hip replacement arthroplasty,while the observation group were given semi-hip replacement arthroplas-ty. The operation time,intraoperative blood loss,hospital stay,postoperative complications and Harris joint scores of the two groups were compared. Results There was no statistically significant difference in operation time,intraoperative blood loss,hospital stay and postoperative complications between the two groups( P>0. 05),while the Harris joint scores of the observation group(81. 6%)was significantly higher than that of the control group(52. 6%,χ2 =9. 482,P<0. 05). Con-clusions The clinical effect of total hip replacement arthroplasty on elderly patients with femoral neck fracture is remarka-ble and it is worthy of popularization and application.