摘要
目的探讨内固定法与关节置换法治疗老年骨质疏松合并股骨粗隆间骨折的临床疗效并对比内固定法与关节置换法的疗效.方法选择曲靖市第二人民医院自2014年1月至2016年1月收治的老年骨质疏松合并股骨粗隆间骨折的患者78例,根据治疗方式随机分为实验组(髋关节置换手术)和对照组(内固定手术),分别采用关节置换法与内固定法进行治疗,对2组的临床疗效、骨密度值及并发症等情况进行对比.结果经治疗后,实验组的总有效率为86.78%,对照组的总有效率为65.87%,实验组的总有效率明显高于对照组,差异具有统计学意义.治疗后,2组的骨密度值均明显提高,但实验组的骨密度值明显高于对照组(P<0.05),差异具有统计学意义.此外实验组并发症发生率明显低于对照组(P<0.05),差异具有统计学意义.结论关节置换法治疗老年骨质疏松合并股骨粗隆间骨折较内固定法更为优良,临床效果显著,能够有效提高患者的生活质量,值得临床广泛应用、推广.
Objective To investigate the clinical effects of internal fixation and joint replacement in thetreatment of osteoporosis complicated with intertrochanteric fractures of the elderly and compare the effects of internalfixation and joint replacement.Methods Seventy-eight elderly patients with osteoporotic intertrochanteric fracturestreated in our hospital from January2016to December2016were randomly divided into two groups according to thetreatment:the experimental group(hip replacement operation)and the control group(internal fixation Surgery),weretreated with joint replacement and internal fixation,the two groups of clinical efficacy,bone mineral density valuesand complications were compared.Results After treatment,the total effective rate of the experimental group was86.78%,the total effective rate of the control group was65.87%,the total effective rate of the experimental groupwas significantly higher than the control group,the difference was statistically significant.After treatment,theBMD values of the two groups were significantly increased,but the experimental group of bone mineral density wassignificantly higher than the control group(P<0.05),the difference was statistically significant.In addition,theincidence of complications in the experimental group was significantly lower than the control group(P<0.05),thedifference was statistically significant.Conclusion Joint replacement of osteoporotic treatment of osteoporosis withintertrochanteric fractures is more excellent than the internal fixation,has significant clinical effect,can effectively improve the quality of life of patients,so it should be widely used in clinical practice.
作者
骆靖陵
张宗山
谭绍林
郭向宏
LUO Jing-ling;ZHANG Zong-shan;TAN Shao-lin;GUO Xiang-hong(Dept.of Orthopaedics,The 2nd People’s Hospital of Qujing City,Qujing Yunnan 655000,China)
出处
《昆明医科大学学报》
CAS
2017年第4期123-126,共4页
Journal of Kunming Medical University
基金
云南省教育厅科学研究基金资助项目(2012C002)
关键词
内固定法
关节置换法
骨质疏松
股骨粗隆间骨折
临床疗效
Internal fixation
Joint replacement
Osteoporosis
Intertrochanteric fractures
Clinical curative effect
