摘要
目的分析比较人工假体置换术（半髋或全髋置换术）与骨折内固定术治疗老年股骨粗隆间骨折的临床疗效。方法住院治疗的54例70岁以上股骨粗隆间骨折患者分为两组,A组为人工假体置换术治疗,B组为内固定术治疗组,对两组患者术前、术中及术后相关资料进行对比,并随访10-36个月。结果手术时间和住院时间两组相比无显著性差异,而术后A组优良率明显高于B组（91.67%VS 60%,χ^2=6.96,P=0.0083）,术后并发症发生率A组明显低于B组,下床活动时间亦明显短于B组。而术中出血量B组较A组少。结论人工假体置换术（半髋或全髋置换）治疗老年股骨粗隆间骨折较骨折内固定术治疗时间短、患肢活动恢复快,术后并发症少,能更好地提高患者生活质量。
Objective To compare the clinical curative effects between artificial prosthesis replacement and fracture fixation for the treatment of femoral intertrochanteric fractures in elderly patients.Methods From 2005 to 2009,54 cases of femoral intertrochanteric fracture patients,aged more than 70 years old,were divided into two groups,artificial prosthesis replacement was carried out on group A,while the patients in group B underwent fracture fixation.All cases were followed up for 10~36 months,and preoperative,intraoperative and postoperative data in two groups of patients were compared.Results Higher ratio of excellent functional assessment,lower incidence of postoperative complications and shorter ambulation time occurred in A group compared with B group（91.67% vs 60%,χ^2=6.96,P=0.0083）.However,loss of blood during the operation in group B were less than that of A group.Conclusion Artificially prosthesis replacement（THA or HA） have good clinic curative effects in the treatment of femoral intertrochanteric fractures in elderly patients with advantages in the reduction of the ambulation time and less complications,which can improve their quality of life.
出处
《中国临床保健杂志》
CAS
2010年第5期480-482,共3页
Chinese Journal of Clinical Healthcare
关键词
髋骨折
关节成形术
置换
髋
骨折固定术
内
老年人
Hip fractures
Arthroplasty
replacement
hip
Fracture fixation
internal
Aged
