摘要
目的对比内固定与人工关节置换治疗老年股骨粗隆间骨折的效果。方法 124例老年股骨粗隆间骨折患者随机分为观察组(n=62)与对照组(n=62),观察组给予人工半髋关节置换术治疗,对照组给予股骨近端防旋髓内钉内固定术治疗,对比两组的临床效果。结果观察组的手术时间、术后卧床时间明显短于对照组(P<0.01),术中出血量也明显少于对照组(P<0.01),两组术后关节功能Harris评分差异无统计学意义(P>0.05)。术后随访6个月,两组患者的髋关节功能恢复优良率、并发症差异无统计学意义(P>0.05)。结论人工关节置换术与内固定术在老年股骨粗隆间骨折患者的治疗中对患者髋关节功能的重建与恢复方面效果相当,但人工关节置换术能够有效缩短手术时间、减少术中出血量,同时术后下床时间相对较早,有利于患者术后的恢复。
Objective To compare the clinical effects of artificial joint replacement and internal fixation in the treatment of elderly femoral intertrochanteric fracture. Methods 124 old patients with femoral intertrochanteric fracture were randomly divided into Observation Group（n=62） and Control Group（n=62）. Observation Group was treated with artificial joint replacement and Control Group was treated with internal fixation, and then the clinical effects of the two groups were compared. Results The operation time, postoperative bedridden time of Observation Group was significantly shorter than that of Control Group（P〈0.01）, intraoperative blood loss of Observation Group was significantly less than that of Control Group（P〈0.01）, but there was no significant difference between the two groups in terms of Harris score of joint function after surgery（P〈0.05）. After 6-month follow-up, there was no statistical difference between the two groups in terms of excellent rate of hip joint function recovery and the incidence of complications（P〈0.05）. Conclusion For the treatment of elderly femoral intertrochanteric fracture, artificial joint replacement and internal fixation has the same effect in terms of reconstruction and recovery of hip joint function, but artificial joint replacement can effectively shorten the operation time, reduce intraoperative blood loss, and achieve an earlier off-bed time. Artificial joint replacement is good to the postoperative recovery.
出处
《广东医学院学报》
2015年第4期431-433,共3页
Journal of Guangdong Medical College
基金
国家自然科学基金项目资助(No.81301598)
关键词
内固定
人工关节置换
老年
股骨粗隆间骨折
internal fixation
artificial joint replacement
elderly
femoral intertrochanteric fracture
