摘要
目的探讨全髋关节置换术治疗老年股骨颈骨折的效果。方法将我院收治的106例老年股骨颈骨折患者按照患者入院顺序平均分为甲组和乙组,各53例。乙组患者给予半髋关节置换术治疗,甲组患者给予全髋关节置换术治疗。比较两组患者的临床效果。结果与乙组比较,甲组手术时间及髋关节功能恢复时间更短,术中出血量更少(P<0.05)。治疗后,甲组的治疗优良率为98.11%,乙组的治疗优良率为84.91%,甲组的治疗优良率明显高于乙组,差异具有统计学意义(P<0.05)。甲组患者中发生深静脉血栓和肺部感染各1例,乙组患者中发生深静脉血栓、肺部感染、髋臼软骨磨损各3例,甲组的并发症总发生率明显低于乙组(P<0.05)。结论同半髋关节置换术相比,全髋关节置换术治疗老年股骨颈骨折效果确切,治疗优良率高,并且降低了患者并发症发生风险。
Objective To explore the effect of total hip replacement in the treatment of femoral neck fracture in elderly patients. Methods A total of 106 elderly patients with femoral neck fractures admitted in our hospital were selected and divided into group A and group B according to the order of admission, with 53 cases in each group. The group B was treated with half hip replacement, and the group A was given total hip replacement. The clinical effects were compared between the two groups. Results Compared with the group B, there were shorter operation time and recovery time of hip joint function, and less intraoperative blood loss in the group A（P〈0.05）. The excellent rate of treatment of the group A was 98.11%, and that of the group B was 84.91%. The excellent rate of treatment of the group A was higher than that of the group B, the difference was statistically significant（P〈0.05）. In the group A, deep venous thrombosis and pulmonary infection occurred in 1 case respectively, and in the group B, deep venous thrombosis, pulmonary infection and acetabular cartilage wear occurred in 3 cases respectively. The total incidence of complications in the group A was lower than that in the group B（P〈0.05）. Conclusion Compared with half hip replacement, the effect of total hip replacement in elderly patients with femoral neck fractures is accurate, which has high excellent rate of treatment and low risk of complications.
作者
陈峰
CHEN Feng(Tianjin Hospital of Ningqiang County, Hanzhong 724400, China)
出处
《临床医学研究与实践》
2018年第24期82-83,共2页
Clinical Research and Practice
关键词
全髋关节置换术
股骨颈骨折
髋关节功能
total hip replacement
femoral neck fractures
hip joint function
