摘要
目的对比分析中老年股骨颈骨折全髋关节置换术和骨折内固定术的临床疗效,总结其临床应用价值。方法采用回顾性分析的方法分析我院2007年2月至2010年2月年龄在55岁以上的股骨颈骨折的患者78例,按照其手术方法不同分为观察组和对照组,观察组使用全髋关节置换术治疗39例,对照组采取骨折内固定术治疗39例,观察比较二者治疗效果,进行统计学分析。结果观察组总有效率为79.5%。对照组总有效率为56.4%;两组治疗效果比较差异显著(P<0.05),具有统计学意义。两组患者治疗后的ADL、FAM、FIM评分比较存在明显差异(P<0.05),具有统计学意义。结论中老年股骨颈骨折全髋关节置换术的临床疗效显著,优于传统内固定术治疗效果,能够有效改善关节功能,提高患者的生活质量,具有重要的临床应用价值。
Objective Comparative analysis of femoral neck fracture in the elderly patients of total hip replacement and internal fixation of fractures of the clinical efficacy, summarize its clinical application value. Methods A retrospective analysis in our hospital from 2003＇ February to 2010 February over the age of 55 years old femoral neck fracture in 78 cases, in accordance with its operation method is divided into the observation group and the control group, the observation group used total hip replacement in the treatment of 39 cases, control group adopted the fracture internal fixation in the treatment of 39 cases comparison of two treatment effect, observation, statistics analysis. Results In the study group, the total efficiency of 79.5%. The control group total effective rate was 56.4%; comparison of two treatment significantly （P〈0.05） , with statistical significance. Two groups of patients after treatment of ADL, FAM, FIM score more obvious difference （P〈0.05） , with statistical significance. Conclusion In elderly femoral neck fracture in total hip arthroplasty clinical curative effect, is superior to the traditional internal fixation treatment effect, can effectively improve joint function, improve the quality of life of patients, which has important value in clinical application.
出处
《中国医药指南》
2012年第19期87-88,共2页
Guide of China Medicine
关键词
股骨颈骨折
全髋关节置换术
骨折
内固定
Femoral neck fractures
Total hip replacement
Fracture
Internal fixation
