中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
7期
72-73
,共2页
人工关节置换术%内固定术%老年股骨粗隆间骨折%Meta分析
人工關節置換術%內固定術%老年股骨粗隆間骨摺%Meta分析
인공관절치환술%내고정술%노년고골조륭간골절%Meta분석
Arthroplasty%Internal fixation%Elderly intertrochanteric fracture%Meta Analysis
目的：探讨老年股骨粗隆间骨折采用人工关节置换术与内固定术治疗的Meta分析。方法：1980-2014年老年股骨粗隆间骨折治疗文献1000例，采用Meta方法对不同治疗方案预后展开对比。结果：人工髋关节置换300例，术后内科并发症率3.3%，术后髋关节畸形率3.3%，内固定物松动率2.7%。内固定组分别为3.3%、3.2%、2.7%，经Meta分析，差异无统计学意义(P＞0.05)。人工股骨头置换组分别为3%、3%、2%，与内固定比较，差异无统计学意义(P＞0.05)。人工髋关节置换组死亡率5%，内固定组2.7%，人工股骨头置换组0%，人工髋关节置换组高于内固定组(P＜0.05)。人工股骨头置换组低于内固定组(P＜0.05)。结论：老年股骨粗隆间骨折采用人工关节置换术与内固定术Meta分析结果显示，采人工股骨头置换术，效果更为明显，可显著改善预后，保障患者生存质量。
目的：探討老年股骨粗隆間骨摺採用人工關節置換術與內固定術治療的Meta分析。方法：1980-2014年老年股骨粗隆間骨摺治療文獻1000例，採用Meta方法對不同治療方案預後展開對比。結果：人工髖關節置換300例，術後內科併髮癥率3.3%，術後髖關節畸形率3.3%，內固定物鬆動率2.7%。內固定組分彆為3.3%、3.2%、2.7%，經Meta分析，差異無統計學意義(P＞0.05)。人工股骨頭置換組分彆為3%、3%、2%，與內固定比較，差異無統計學意義(P＞0.05)。人工髖關節置換組死亡率5%，內固定組2.7%，人工股骨頭置換組0%，人工髖關節置換組高于內固定組(P＜0.05)。人工股骨頭置換組低于內固定組(P＜0.05)。結論：老年股骨粗隆間骨摺採用人工關節置換術與內固定術Meta分析結果顯示，採人工股骨頭置換術，效果更為明顯，可顯著改善預後，保障患者生存質量。
목적：탐토노년고골조륭간골절채용인공관절치환술여내고정술치료적Meta분석。방법：1980-2014년노년고골조륭간골절치료문헌1000례，채용Meta방법대불동치료방안예후전개대비。결과：인공관관절치환300례，술후내과병발증솔3.3%，술후관관절기형솔3.3%，내고정물송동솔2.7%。내고정조분별위3.3%、3.2%、2.7%，경Meta분석，차이무통계학의의(P＞0.05)。인공고골두치환조분별위3%、3%、2%，여내고정비교，차이무통계학의의(P＞0.05)。인공관관절치환조사망솔5%，내고정조2.7%，인공고골두치환조0%，인공관관절치환조고우내고정조(P＜0.05)。인공고골두치환조저우내고정조(P＜0.05)。결론：노년고골조륭간골절채용인공관절치환술여내고정술Meta분석결과현시，채인공고골두치환술，효과경위명현，가현저개선예후，보장환자생존질량。
Objective:To explore the Meta analysis of artificial joint replacement and internal fixation in treatment of elderly femoral intertrochanteric fractures.Methods:1000 cases of literature about the treatment of intertrochanteric fractures in elderly from 1980 to 2014 were selected and the prognosis of different treatment options were compared through Meta analysis.Results:300 cases had hip replacement and the postoperative medical complications was 3.3%,the postoperative hip deformity rate was 3.3% ,the implant loosening rate was 2.7% and the internal fixation group were 3.3% ,3.2% ,2.7% ,there was no significant difference through Meta analysis(P>0.05).The hemiarthroplasty group were 3%,3%,2%,there was no differences compared with the fixation group(P>0.05).The mortality of the hip replacement group was 5% and that of the internal fixation group was 2.7%, that of the hemiarthroplasty group was 0%,and that of the hip replacement group was higher than that of the internal fixation group(P <0.05).That of the hemiarthroplasty group was lower than that of the internal fixation group(P<0.05).Conclusion:Based Meta analysis of arthroplasty and internal fixation in the treatment of intertrochanteric fractures in elderly,hemiarthroplasty had more obvious effect and could significantly improve the prognosis and protect patient's quality of life.
