CAJ | 학술논문

目的：探讨半髋关节置换与髋动力钢板内固定术治疗老年人粗隆间骨折的效果。方法回顾性分析该院2011年1月-2013年1月收治的75例粗隆间骨折的老年患者的临床资料,根据治疗方法不同,将患者分为两组,对照组(髋动力钢板内固定术),观察组(半髋关节置换),比较两组患者的疗效差异。结果观察组患者经半髋关节置换术治疗,手术时间﹑术中出血量及术后卧床时间均明显少于对照组,经比较,P<0.05,差异有统计学意义。近期疗效优良率为87.5%,远期疗效优良率为92.5%,均明显高于对照组,经比较,P<0.05,差异有统计学意义。结论对于老年人股骨粗隆间骨折的治疗,半髓关节置换术的近期疗效和远期疗效更好,更值得临床推广应用。
목적：탐토반관관절치환여관동력강판내고정술치료노년인조륭간골절적효과。방법회고성분석해원2011년1월-2013년1월수치적75례조륭간골절적노년환자적림상자료,근거치료방법불동,장환자분위량조,대조조(관동력강판내고정술),관찰조(반관관절치환),비교량조환자적료효차이。결과관찰조환자경반관관절치환술치료,수술시간﹑술중출혈량급술후와상시간균명현소우대조조,경비교,P<0.05,차이유통계학의의。근기료효우량솔위87.5%,원기료효우량솔위92.5%,균명현고우대조조,경비교,P<0.05,차이유통계학의의。결론대우노년인고골조륭간골절적치료,반수관절치환술적근기료효화원기료효경호,경치득림상추엄응용。
Objective To investigate the comparison of the effects between half hip replacement and hip power plate fixation for the treatment of intertrochanteric fractures in older adults. Methods The clinical data of 75 elderly patients with intertrochanteric fractures admitted in our hospital from January 2011 to January 2013 were analyzed retrospectively. And they were divided into 2 groups according to the different treatment. The control group was treated by hip power plate fixation, and the observation group was treated by half hip replacement. And the curative effects of the two groups of patients were compared. Results The operative time, intraoperative blood loss and postoperative bed time of the observation group treated by half hip replacement were less than those of the control group, the difference was statistically significant, P<0.05. The short-term and long-term good and excellent rate of the observation group was 87.5%, 92.5%, respectively, obviously higher than that of the control group, respectively, the differences were statistically significant, P<0.05. Conclusion For the treatment of intertrochanteric fractures in the elderly, half hip replacement has better short-term and long-term curative effect, and it is more worthy of clinical application.