摘要
目的分析股骨颈骨折患者接受款关节置换术治疗的应用价值。方法该次方便选择2016年8月—2019年2月该院收治股骨颈骨折患者40例为研究对象,抽签划分为A组与B组,A组患者接受全髋关节置换术治疗,B组患者接受半髋关节置换术治疗,记录并比较两组患者手术各项指标,统计并分析各组患者治疗前后髋关节疗效评分差异,计算并发症发生率及远期优良率。结果A组患者手术时长(126.42±3.15)min、拔管时长(5.47±0.21)d均明显长于B组,术中出血量(356.41±11.03)mL、引流量(99.25±0.37)mL多于B组,差异有统计学意义(t=12.030、11.490、9.380、4.460,P<0.05),住院总时长(5.34±0.24)d、骨折愈合时长(97.34±1.35)d与B组相近(t=2.010、0.350,P>0.05)。治疗后A组功能评分(23.21±0.25)分、活动度评分(24.14±0.15)分、疼痛评分(23.38±1.02)分、畸形评分(22.78±0.15)分与B组比较差异无统计学意义(t=0.130、0.210、0.220、0.240,P>0.05);A组患者并发症概率40.00%明显高于B两组(P<0.05),且A组患者远期优良率90.00%较B组相比更佳,差异有统计学意义(P<0.05)。A组患者并发症发生率明显高于B组,B组患者远期优良率较A组相比更高。结论半髋关节置换术优势在于手术用时短、患者术中出血量少,而全髋关节置换术则远期疗效更佳,临床需结合患者具体情况合理选择治疗方案,提高治疗质量。
Objective To analyze the value of the treatment of patients with femoral neck fracture undergoing arthroplasty.Methods From August 2016 to February 2019,40 patients with femoral neck fractures were conveniently selected into the study in the hospital.The results were divided into group A and group B.Group A patients underwent total hip arthroplasty.Group B patients underwent treatment of hemiarthroplasty.The indexes of the two groups were recorded and compared.The difference of hip joint efficacy scores before and after treatment was calculated and analyzed.The incidence of complication and the long-term excellent rate were calculated.Results The length of operation(126.42±3.15)min and the length of extubation(5.47±0.21)d in group A were significantly longer than those in group B.The intraoperative blood loss(356.41±11.03)mL and drainage volume(99.25±0.37)mL were more than group B,the difference was statistically significant(t=12.030,11.490,9.380,14.460,P<0.05),the total length of hospitalization(5.34±0.24)d,the length of fracture healing(97.34±1.35)d was similar to that of group B(t=2.010,0.350,P>0.05).After treatment,the functional scores of group A(23.21±0.25)points,activity score(24.14±0.15)points,pain score(23.38±1.02)points,and malformation score(22.78±0.15)points were not statistically significantly different from those of group B(t=0.130,0.210,0.220,0.240,P>0.05);the probability of complications in group A was 40.00%higher than that in group B(P<0.05),and the long-term excellent rate of group A was 90.00%more than that of group B,the difference was statistically significant(P<0.05).The incidence of complications in group A was significantly higher than that in group B.The long-term excellent rate of group B was higher than that of group A.Conclusion The advantage of hemiarthroplasty is that the operation time is short,the amount of bleeding in the patient is small,and the total hip arthroplasty is better in the long-term.The clinical need to combine the patient's specific conditions to choose a treatment plan to improve the quality of treatment.
作者
孙金羊
SUN Jin-yang(Department of Orthopaedics,Liuhe District Hospital of Traditional Chinese Medicine,Nanjing,Jiangsu Province,211500 China)
出处
《中外医疗》
2019年第30期86-88,共3页
China & Foreign Medical Treatment
关键词
髋关节置换术
治疗
股骨颈骨折
临床
分析
Hip arthroplasty
Treatment
Femoral neck fracture
Clinical
Analysis
