摘要
目的研究人工髋关节置换术治疗高龄股骨粗隆间骨折的临床疗效。方法以2017年1—12月我院收治的高龄股骨粗隆间骨折患者作为研究对象,共68例,将其分成两组,观察组采用人工髋关节置换术治疗,对照组采用传统内固定方式进行治疗,对比分析两组患者的临床治疗效果情况。结果观察组Harris评分(88.73±14.82)分,对照组Harris评分(75.24±16.93)分,观察组患者术后关节功能Harris评分高于对照组,差异有统计学意义(P <0.05);观察组手术时间(90.58±12.33)min、术中出血(284.77±78.54)mL、并发症17.64%;对照组手术时间(95.74±13.08)min、术中出血(304.55±86.93)mL、并发症23.53%;两组患者手术时间及术中出血量均差异无统计学意义(P> 0.05);两组患者术后并发症比较差异无统计学意义(P>0.05)。结论人工髋关节置换术有助于提高患者术后关节功能,从而提高疗效,安全可靠。
Objective To study the clinical effect of artificial hip arthroplasty for intertrochanteric fracture of femur.Methods A total of 68 cases of aged patients with intertrochanteric fracture of femur admitted to our hospital from January to December 2017 were divided into two groups.The observation group was treated with artificial hip arthroplasty while the control group was treated with traditional internal fixation.Results Harris score of observation group was(88.73±14.82)points,while it was(75.24±16.93)points in control group.The postoperative joint function(Harris)score of the observation group was significantly higher than that of the control group(P<0.05),the difference was statistically significant.Operation time in observation group was(90.58±12.33)min,intraoperative hemorrhage was(284.77±78.54)mL,the incidence of complication was 17.64% in the observation group;while the operation time in control group was(95.74±13.08)min,intraoperative hemorrhage was(304.55±86.93)mL,the incidence of complications was 23.53%.There was no significant difference in operation time and bleeding volume between the two groups(P>0.05),and there was no significant difference in postoperative complications between the two groups(P>0.05).Conclusion Artificial hip arthroplasty can improve the postoperative joint function of patients,and improve the curative effect,and the incidence of complications is fewer,which is safe and reliable.
作者
王大勇
WANG Dayong(Joint Department,Changchun Sino-German Orthopaedic Hospital,Jilin Changchun 130000,China)
出处
《中国卫生标准管理》
2019年第3期33-34,共2页
China Health Standard Management
关键词
髋关节
高龄
股骨
粗隆间
骨折
关节功能
hip joint
old age
femur
intertrochanteric
fracture
joint function
