摘要
目的：探讨人工全髋关节置换术与半髋置换术在老年股骨颈骨折治疗中的疗效。方法：我院2009-2012共收治的134例老年股骨颈骨折患者,根据收治时间段将所有患者分为观察组和对照组,对照组行人工全髋置换术,观察组行半髋置换术,观察两组患者手术时间、术中出血量、住院时间,髋关节位置、并发症发生率及髋关节Harris评分。结果：观察组术中出血量为（262.3±21.7） ml,并发症发生率5.2%（4/77）,住院时间（25.9±3.5）d,Harris评分为（93.5±4.2）分,对照组术中出血量为（415.3±33.9）ml,并发症发生率15.8%（9/57）,住院时间（37.6±2.9）d,Harris评分为（85.9±3.6）分,两组间比较差异显著（P〈0.05）。结论：半髋置换术创伤小,术后并发症少,利于患者髋关节功能恢复。
Objective：To study the artificial total hip replacement and total hip arthroplasty in efficacy in the treatment of femoral neck fracture.Methods：In our hospital from 2009 to 2012,methods：a total of 134 cases of elderly patients with femoral neck fracture treated,according to the time period will be all of the patients were divided into observation group and control group,control group total hip arthroplasty,observation group line half a hip replacement,observing two groups of patients with operation time,intraoperative blood loss,hospital stay,the hip joint location,incidence of complications and Harris hip score.Results：Bleeding amount of observation group was （262.3±21.7） for,complication rate 5.2%（4/77）,length of hospital stay （25.9±3.5）d,（93.5±4.2） for Harris score points,bleeding amount of control group （415.3±33.9） for complication rate 15.8% （9/57）,length of hospital stay （37.6±2.9）,d （85.9±3.6） for Harris score points,more significant difference between the two groups （P〈0.05）.Conclusion：Half hip replacement small trauma,less postoperative complications,for patients with hip joint function recovery.
出处
《中国医药导刊》
2013年第10期1647-1648,共2页
Chinese Journal of Medicinal Guide
关键词
髋关节置换术
股骨颈骨折
临床疗效
Arthroplasty
Femoral neck fracture
clinical curative effect
