髋关节置换术治疗老年移位型股骨颈骨折患者的效果观察

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摘要目的探讨髋关节置换术和内固定术治疗老年股骨颈骨折的效果。方法将我院2010年7月～2015年1月收治的65例老年移位性股骨颈骨折患者按治疗方法的不同分为髋关节置换组（31例）和内固定组（34例）。内固定组患者采用内固定术，髋关节置换组患者采用髋关节置换术。观察两组患者的术中出血量、手术时间、住院时间及术后远期并发症、再手术率，并对两组患者术后1、2年的髋关节功能进行比较。结果与髋关节置换组比较，内固定组患者的术中出血量少、手术时间短、住院时间短，差异均有统计学意义（P＜0.05）。内固定组患者的术后远期并发症发生率（26.5%）、再手术率（23.5%）均明显高于髋关节置换组（9.7%、6.5%），差异均有统计学意义（P＜0.05）。髋关节置换组术后1、2年的髋关节功能优良率明显优于内固定组，差异有统计学意义（P＜0.05）。结论髋关节置换术治疗老年移位性股骨颈骨折远期效果较好，值得临床推广。

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	郭文龙

关键词 ：髋关节置换术, 内固定术, 股骨颈骨折, 老年人, 髋关节功能

Abstract：Objective To investigate the effect of hip arthroplasty(HA)and internal fixation(IF)in the treatment of displaced femoral neck fracture in elderly patients.Methods 65 cases of elderly patients with femoral neck fracture were selected as the subjects,who were hospitalized in our hospital from July 2010 to January 2015.They were divided into the HA group(31 cases)and the IF group(34 cases)according to different treatment methods.The patients in the IF group were treated with IF,and the patients in the HA group were treated with HA.The intraoperative blood loss,duration of operation,length of hospital stay,incidence of postoperative complication and reoperation rate in the two groups were recorded.The hip function of the two groups was compared in the first,second years after operation.Results Compared with the HA group,the IF group patients had less intraoperative bleeding,shorter operation time and shorter hospitalization time,and the difference between the two groups was statistically significant(P＜0.05).The long term postoperative complication rate was 26.5%in the IF group and was 9.7%in the HA group,the reoperation rate was 23.5%in the IF group and was 6.5%in the HA group,the difference between the two groups was statistically significant(P＜0.05).The excellent and good rate of hip joint function in the HA group was better than that in the IF group,the difference between the two groups was statistically significant(P＜0.05).Conclusion The long-term clinical effect of HA in the treatment of displaced femoral neck fracture in elderly patients is better than that of internal fixation and it is worthy of clinical promotion.

Key words： Hip arthroplasty Internal fixation Femoral neck fracture Elderly patients Hip joint function

引用本文:

郭文龙. 髋关节置换术治疗老年移位型股骨颈骨折患者的效果观察[J]. 中国当代医药, 2018, 25(1): 79-81.
GUO Wen-long. Effect observation of hip arthroplasty in the treatment of displaced femoral neck fracture in elderly patients. 中国当代医药, 2018, 25(1): 79-81.

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