摘要
目的对比分析全髋关节置换术与半髋关节置换术治疗老年股骨颈骨折的临床效果。方法选取我院2015年2月至2018年5月期间收治的100例老年股骨颈骨折患者,随机分为观察组和对照组各50例。对照组采用半髋关节置换术治疗,观察组采用全髋关节置换术治疗,比较两组患者的临床疗效。结果观察组的优良率为88.00%,明显高于对照组的68.00%(P <0.05)。与对照组相比,观察组的手术时间明显更长,术中出血量明显更多(P均<0.05)。两组患者的住院时间比较差异无统计学意义(P>0.05)。观察组的并发症发生率为6.00%,明显低于对照组的20.00%(P <0.05)。结论全髋关节置换术与半髋关节置换术治疗老年股骨颈骨折均有一定的效果,应根据患者的实际情况选择治疗方案,身体条件允许时优先考虑全髋关节置换术。
Objective To compare and analyze the clinical effect of total hip arthroplasty and hemiarthroplasty in the treatment of senile femoral neck fractures. Methods 100 cases of elderly patients with femoral neck fractures admitted to our hospital from February2015 to May 2018 were selected and randomly divided into observation group and control group, with 50 cases in each group. The control group received hemiarthroplasty, while the observation group received total hip arthroplasty. The clinical curative effects were compared between the two groups. Results The excellent and good rate of the observation group was 88.00%, significantly higher than 68.00% of the control group（P 0.05）. Compared with the control group, the operation time of the observation group was significantly longer, and the intraoperative blood loss was significantly more（both P 0.05）. No statistical difference was found in the hospitalization time between the two groups（P 0.05）. The incidence of complications of the observation group was 6.00%, significantly lower than 20.00% of the control group（P 0.05）. Conclusions Total hip arthroplasty and hemiarthroplasty have certain effect in the treatment of senile femoral neck fractures. The treatment plan should be selected according to patients＇ actual conditions. When the physical conditions permit, priority should be given to total hip arthroplasty.
作者
高俊
刘志华
彭伟君
曾德新
GA O Jun;LIU Zhihua;PENG Weijun;ZENG Dexin(The People Is Hospital of Jiexi County,Jieyang 515400,China)
出处
《临床医学工程》
2018年第9期1203-1204,共2页
Clinical Medicine & Engineering
