中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
35期
5577-5582
,共6页
植入物%人工假体%碳质涂膜人工股骨头%股骨骨折%不稳定性骨折%骨质疏松%老年患者%人工股骨头置换%内固定
植入物%人工假體%碳質塗膜人工股骨頭%股骨骨摺%不穩定性骨摺%骨質疏鬆%老年患者%人工股骨頭置換%內固定
식입물%인공가체%탄질도막인공고골두%고골골절%불은정성골절%골질소송%노년환자%인공고골두치환%내고정
Femoral Fractures%Osteoporotic Fractures%Hip Prosthesis%Internal Fixators
背景：老年人较易发生不稳定性合并骨质疏松性股骨骨折，临床对其进行修复治疗的过程中，可以采取不同的方案，以往大多实施内固定治疗。但目前关于老年股骨不稳定合并骨质疏松性骨折修复方法的具体选择，尚存在一定的争议。<br> 目的：观察碳质涂膜人工股骨头置换修复老年股骨不稳定合并骨质疏松性骨折的随访结果。<br> 方法：回顾性分析西安交通大学医学院附属红会医院2013年2月至2014年2月收治的83例老年股骨不稳定合并骨质疏松性骨折患者的临床资料，按照修复方法分为对照组(42例)和观察组(41例)，分别实施常规内固定治疗和人工股骨头置换治疗。观察两组患者的手术所用时间、术中出血量、术后卧床时间及住院天数；随访12个月，观察两组患者的髋关节功能恢复情况以及并发症发生情况，并进行比较。<br> 结果与结论：观察组手术所用时间和术中出血情况与对照组比较差异无显著性意义(P>0.05)，但观察组的术后卧床时间和住院天数均显著短于对照组(P<0.05)。观察组的治疗后髋关节功能优良率显著高于对照组，并发症发生率则显著低于对照组(P<0.05)。表明对老年股骨不稳定合并骨质疏松性骨折患者实施碳质涂膜人工股骨头置换可以获得较好的修复效果，对患者造成的损伤小，并发症少，且可以更好的改善患者的髋关节功能。
揹景：老年人較易髮生不穩定性閤併骨質疏鬆性股骨骨摺，臨床對其進行脩複治療的過程中，可以採取不同的方案，以往大多實施內固定治療。但目前關于老年股骨不穩定閤併骨質疏鬆性骨摺脩複方法的具體選擇，尚存在一定的爭議。<br> 目的：觀察碳質塗膜人工股骨頭置換脩複老年股骨不穩定閤併骨質疏鬆性骨摺的隨訪結果。<br> 方法：迴顧性分析西安交通大學醫學院附屬紅會醫院2013年2月至2014年2月收治的83例老年股骨不穩定閤併骨質疏鬆性骨摺患者的臨床資料，按照脩複方法分為對照組(42例)和觀察組(41例)，分彆實施常規內固定治療和人工股骨頭置換治療。觀察兩組患者的手術所用時間、術中齣血量、術後臥床時間及住院天數；隨訪12箇月，觀察兩組患者的髖關節功能恢複情況以及併髮癥髮生情況，併進行比較。<br> 結果與結論：觀察組手術所用時間和術中齣血情況與對照組比較差異無顯著性意義(P>0.05)，但觀察組的術後臥床時間和住院天數均顯著短于對照組(P<0.05)。觀察組的治療後髖關節功能優良率顯著高于對照組，併髮癥髮生率則顯著低于對照組(P<0.05)。錶明對老年股骨不穩定閤併骨質疏鬆性骨摺患者實施碳質塗膜人工股骨頭置換可以穫得較好的脩複效果，對患者造成的損傷小，併髮癥少，且可以更好的改善患者的髖關節功能。
배경：노년인교역발생불은정성합병골질소송성고골골절，림상대기진행수복치료적과정중，가이채취불동적방안，이왕대다실시내고정치료。단목전관우노년고골불은정합병골질소송성골절수복방법적구체선택，상존재일정적쟁의。<br> 목적：관찰탄질도막인공고골두치환수복노년고골불은정합병골질소송성골절적수방결과。<br> 방법：회고성분석서안교통대학의학원부속홍회의원2013년2월지2014년2월수치적83례노년고골불은정합병골질소송성골절환자적림상자료，안조수복방법분위대조조(42례)화관찰조(41례)，분별실시상규내고정치료화인공고골두치환치료。관찰량조환자적수술소용시간、술중출혈량、술후와상시간급주원천수；수방12개월，관찰량조환자적관관절공능회복정황이급병발증발생정황，병진행비교。<br> 결과여결론：관찰조수술소용시간화술중출혈정황여대조조비교차이무현저성의의(P>0.05)，단관찰조적술후와상시간화주원천수균현저단우대조조(P<0.05)。관찰조적치료후관관절공능우량솔현저고우대조조，병발증발생솔칙현저저우대조조(P<0.05)。표명대노년고골불은정합병골질소송성골절환자실시탄질도막인공고골두치환가이획득교호적수복효과，대환자조성적손상소，병발증소，차가이경호적개선환자적관관절공능。
BACKGROUND:Elderly patients are more prone to unstable and osteoporotic fractures. In the clinical surgical treatment, different programs can be taken. Internal fixation was done previously. However, the precise choice of the methods of unstable and osteoporotic femoral fractures in the elderly was stil controversial. <br> OBJECTIVE:To investigate the clinical effect of carbon-coated artificial femoral head replacement in the treatment of elderly patients with unstable and osteoporotic femoral fractures. <br> METHODS:A retrospective analysis was performed in the Honghui Hospital Affiliated to Health Science Center, Xi’an Jiaotong University from February 2013 to February 2014 in 83 cases of unstable and osteoporotic femoral fractures. These patients were divided into control group (42 cases) and observation group (41 cases) according to treatment methods. Conventional internal fixation and artificial femoral head replacement were conducted. Operation time, intraoperative blood loss, postoperative bed time and hospital stay were observed in the two groups. Patients were fol owed up for 12 months. Recovery of hip function and complications were observed and compared between the two groups. <br> RESULTS AND CONCLUSION:No significant difference in operation time and intraoperative blood loss was detected between the observation group and the control group (P>0.05). Postoperative bed time and hospital stay were significantly shorter in the observation group than in the control group (P<0.05). The excel ent and good rate of hip joint function was significantly higher in the observation group than in the control group, but the complication rate was significantly lower in the observation group than in the control group (P<0.05). These findings suggest that carbon-coated artificial femoral head replacement for unstable and osteoporotic femoral fractures in the elderly obtained good repair effects, had smal injury to the patient and less complications. Moreover, it can better improve hip function.
