摘要
目的对比和分析人工股骨头置换术和全髋关节置换术治疗股骨颈骨折的临床疗效。方法回顾性分析2010年2月-2012年7月新疆医科大学附属中医医院骨科收治的84例股骨颈骨折患者的临床资料,其中人工股骨头置换术组(FHR组)44例,人工全髋关节置换术组(THR组)40例,比较两组患者的手术时间、术中出血量、术后下床活动时间、术后并发症的发生以及Hrris髋关节功能评分。结果 FHR组患者的手术时间短于THR组,术中出血量明显低于THR组,术后下床时间明显长于THR组,差异均具有统计学意义(P<0.05)。手术后,FHR组患者的优良率为68.12%,明显低于THR组,且差异有统计学意义(P<0.05)。两组患者远期并发症发生率差异有统计学意义(P<0.05)。结论行全髋关节置换术患者术后下床活动时间早,Hrris髋关节功能评分优于人工股骨头置换术,而且全髋关节置换术术后并发症发生率低于人工股骨头置换术。
Objective To compare and analyze clinical efficacy of hemiarthroplasty and total hip arthroplasty for femoral neck fracture. Methods 84 cases of femoral neck fracture patients were divided into group 1 （hemiarthroplasty, FHR） 44 cases and group 2 （total hip arthroplasty, THR） 40 cases. Sur- gical results of the two groups of patients were compared. Results Operative time and blood loss volume in Group 1 patients was significantly lower than that in the control group （P 〈0.05）, and bed time was significantly shorter in group 1 than in group 2, and the difference was statistically significant （P 〈0.05）. After surgery, the excellence rate in group 1 patients was 68.12%, significantly lower than that in group 2, and the difference was statistically significant （P〈0.05）. In addition, the incidence of long-term com- plications between the two groups was statistically significant （P 〈0.05）. Conclusion Total hip arthro- plasty and femoral head arthroplasty both have their own advantages and disadvantages. We should choose proper therapy to promote the patient＇s prognosis.
出处
《新疆医科大学学报》
CAS
2015年第3期317-319,324,共4页
Journal of Xinjiang Medical University
基金
国家自然科学基金项目(81360549)
