摘要
目的探讨合并重要脏器疾病的高龄股骨颈骨折的手术治疗及时机选择。方法本组95例70岁以上股骨颈骨折患者,行人工股骨头置换或全髋关节置换,全组100%并存其他疾病(高血压、糖尿病、冠心病、肺部感染、脑部疾患),伤后距手术时间最短1天2例(2.11%),4天内76例(80.00%),4～7天内手术19例(20.00%)。结果住院期间,85.3%患者下地练习走路,无一例死亡,均症状改善,正常出院。结论为避免卧床产生的并发症和加重并存病,对高龄股骨颈骨折应伺机手术。围手术期处理得当,高龄及并存病不是绝对手术禁忌证,应视为亚急诊手术,充分的术前评估及治疗是手术成功的关键。
Objective To probe into the surgical treatment and timing of the surgery for femoral neck fractures with coexisting visceral disease for senile patients. Methods In this experiment, 95 cases of femoral neck fracture patients, all aged over 70 and without exception suffering some coexisting diseases （eg： hypertension, diabetes, coronary heart disease, lung infections or brain diseases）, have undergone hemi-hip prosthesis replacement or total hip arthroplasty. The interval between operation and injury： Two cases were operated within only one day after the injury （2. 11%）, 76 cases four days （80. 00%） and 19 cases four to seven days （9.0. 00%）. Results During hospitalization. 85.3%of patients practised walking. With their symptoms well improved, all the patients left the hospital successfully without a single case of death. Conclusion The operation on patients suffering from the senile femoral neck fractures should depend on situation so as to avoid complications arising from staying in bed and worsening coexisting disease. If properly handled in the perioperative period, senile and coexisting diseases should be regarded as minor emergency surgery instead of the so-called absolute contraindications to surgery. Therefore sufficient technical observation and evaluation prior to surgery and treatment are keys to the success of operation.
出处
《福建医药杂志》
CAS
2006年第6期13-15,共3页
Fujian Medical Journal
关键词
高龄
并存病
股骨颈骨折
手术治疗
Senility
Coexisting disease
Femoral neck fractures
Surgical treatment
