摘要
目的 :探讨高龄骨质疏松性股骨粗隆间骨折人工股骨头置换术近远期疗效,以期延长生存时间,提高生活质量。方法：选取2011年1月~2013年1月92例高龄骨质疏松性股骨粗隆间骨折患者为研究对象,分成2组,对照组予pfna内固定,观察组予人工股骨头置换术,观察治疗后近远期疗效。结果 :两组手术时间、并发症发生率、围手术期失血量、切口愈合时间比较差异有统计学意义;治疗前后两组在疼痛、功能、活动范围、总分上比较差异均有统计学意义,治疗后在harriS评分疼痛、功能、活动范围、总分两组间比较差异无统计学意义;生活质量上,两组角色功能、社会功能、情绪功能、躯体功能、总健康状况比较差异无统计学意义。结论 :人工股骨头置换术治疗高龄骨质疏松性股骨粗隆间骨折近远期疗效满意,但在临床上具体用哪个方式要结合骨折类型和患者要求等进行针对性选择。
Objective To investigate the recent and long-term efficacy of artificial femoral head replacement on senile os-teoporotic intertrochanteric fractures, in order to prolong the survial time and life-quality. Methods 92 cases with senile oste-oporotic intertrochanteric fractures from Jan. 2011 to Jan. 2013 were chosen and divided into 2 groups, the control group were given internal fixation with PFNA, the observation group were given artificial femoral head replacement, the recent and long-term efficacy were observed. Results The operation time, comlications rates, perioperative blood loss and incision healing time of two groups had significant differences. The pain, function, activity range and total score of two groups before treatment had significant difference. The Harris score pain, function, activity range, total score after treatment had significant difference. The life-quality, role function of two groups, emotional function, body function, total health had no significant difference. Conclu-sion The artificial femoral head replacement in treatment of senile osteoporotic intertrochanteric fractures had great recent and long-tern efficacy, which should be combined with fracture types and patients requires to chose.
出处
《湖南师范大学学报（医学版）》
2016年第1期116-118,共3页
Journal of Hunan Normal University(Medical Sciences)
关键词
人工股骨头置换术
PFNA
高龄骨质疏松
股骨粗隆间骨折
artificial femoral head replacement
PFNA
senile osteoporotic intertrochanteric fractures
femoral intertrochanteric fracture
