摘要
目的:比较全髋关节置换术(THR)与人工股骨头置换术治疗老年股骨颈骨折的疗效。方法:对2003-2007年我院收治的63例老年股骨颈骨折患者进行回顾性研究分析,根据病例不同的治疗方式分为全髋关节置换术组(A组)和人工股骨头置换组(B组),随访时间3年1个月-3年8个月(平均42个月)。从手术时间、出血量、住院天数,术后不良反应和Harris评分等方面进行比较分析。结果:A组手术时间和出血量高于B组,两组比较差异有统计学差异(P<0.05);术后1年A组优良率和B组无统计学意义(P>0.05),术后3年A组优良率高于B组,两组比较有统计学意义(P<0.05);A组和B组两组住院时间没有明显差异(P>0.05);两组不良反应比较:A组和B组各有1例在术后出现患侧髋部红肿、疼痛,经证实无假体周围感染,对症治疗后痊愈。结论:人工股骨头置换和全髋关节置换术是治疗老年股骨颈骨折的有效方法,可提高老年人的生活质量,减低术后并发症的发生率,但全髋关节置换的效果优于人工股骨头置换。
Objective： To compare the effects of total hip arthroplasty（THA） and hemiarthroplasty in treatment of femoral neck fracture in elderly patients. Methods. A retrospective study of 63 elder- ly patients with femoral neck fracture in our hospital from 2003 to 2007 was carried out. The ca- ses are divided into the total hip arthroplasty group （group A） and hemiarthroplasty group （group B）. The follow-up time ranged 3-5 years （mean 42 months）. The operation time, blood lose, length of hospitalization, postoperative complications, and the score of Harris were com- pared between the two groups. Results. Operation time and blood lose in group A were longer or more than in group B （P〈0.05）. In the first postoperative year, the excellent rate was similar between group A and group B （P〉0.05）; after three years, the excellent rate in group A was higher than in group B （P〈O. 05）; the hospitalization time of the two groups showed no statisti- cal difference （P〉0.05）. Respectively in group A and B, there was one patient had swollen and pain in ipsilateral hip after the surgery, and both cases had none periprosthetic infection and were cured by symptomatic treatment. Conclusion. Both hemiarthroplasty and total hip replacement are effective methods for the treatment of femoral neck fractures. They can improve the quality of life of elder patients and reduce the incidences of postoperative complications, but the effect of to- tal hip replacement is better than that of hemiarthroplasty.
出处
《武汉大学学报（医学版）》
CAS
北大核心
2014年第1期143-145,共3页
Medical Journal of Wuhan University
