摘要
目的探讨全髋与半髋关节置换治疗股骨颈骨折的临床效果。方法将220例股骨颈骨折患者根据治疗方法不同分成全髋关节置换组(110例)和半髋关节置换组(110例)。比较两组手术情况和并发症发生率,采用Harris髋关节功能评分评价疗效。结果患者均获得随访,时间6~12个月。手术时间、术中出血量、术后下床时间全髋关节置换组均长(多)于半髋关节置换组(P<0.05)。术后3个月髋关节功能优良率全髋关节置换组为91.82%,高于半髋关节置换组的82.73%(P<0.05)。并发症发生率全髋关节置换组为18.18%,半髋关节置换组为5.45%,差异有统计学意义(P<0.05)。结论全髋与半髋关节置换治疗股骨颈骨折的临床效果均较为理想,可根据患者情况选择不同方式。
Objective To explore the clinical effect of total and hemi-hip arthroplasty in the treatment of femoral neck fracture.Methods The 220 patients with femoral neck fracture were divided into total hip arthroplasty group(110 patients)and hemi-hip arthroplasty group(110 patients)according to the treatment method.The situation of surgery and complications incidence rate in the two groups were compared between two groups,Harris hip function score was used to evaluate the hip function.Results All the patients were followed up for 6~12 months.The operation time,the volume of intraoperative bleeding and the time of getting out of bed after operation in the total hip arthroplasty group were all longer(more)than those in the hemi-hip arthroplasty group(P<0.05).At postoperative 3 months,the excellent and good rate of hip joint function was 91.82%in total hip arthroplasty group,which was higher than that in hemi-hip arthroplasty group(82.73%)(P<0.05).The incidence rate of complications was 18.18%in total hip arthroplasty group,and 5.45%in hemi-hip arthroplasty group,the difference was statistically significant(P<0.05).Conclusions The clinical effect of total and hemi-hip arthroplasty in the treatment of femoral neck fracture are ideal,which can improve the life quality of patients.
作者
戴传强
李跃辉
梁刚
钟晓
DAI Chuan-qiang;LI Yue-hui;LIANG Gang;ZHONG Xiao(Dept of Orthopaedics,the First People′s Hospital of Ziyang City,Ziyang, Sichuan 641300, China)
出处
《临床骨科杂志》
2020年第3期396-398,共3页
Journal of Clinical Orthopaedics
