摘要
目的比较全髋置换与半髋置换治疗老年不稳定型股骨颈骨折的疗效。方法回顾性分析新疆医科大学第一附属医院关节外科2007年1月至2011年8月收治的168例不稳定型股骨颈骨折患者,其中采用全髋人工关节置换89例,行双极人工股骨头置换79例。结果双极人工股骨头置换组患者手术时间、术中出血量、输血量均少于全髋人工关节置换组[(66.4±10.0)min vs(85.3±14.6)min]、[(361.8±78.8)mL vs(550.9±149.7)mL]、[(292.7±103.5)mL vs(400.4±99.8)mL](P<0.05);术后1年髋关节功能Harris评分全髋人工关节置换组要优于双极人工股骨头置换组(z=-8.96,P<0.05)。结论全髋人工关节置换术的临床治疗效果优于双极人工股骨头置换术,但要求患者对手术的耐受力要高,临床上应结合患者的身体状况以及预期活动能力来选择最合适的手术方案。
Objective To compare the curative effect total hip replacement and bipolar hemiarthroplasty arthroplasty treatment for old aged unstable type femoral neck fracture.Methods Retrospective analysis on 168 cases of unstable femoral neck fracture patients from the First Atiliated Hospital of Xinjiang Medical University during Jan.2007 and Aug.2011 was done,including 89 cases of total hip replacement and 79 cases of bipolar hemiarthroplasty arthroplasty.Results Patients with bipolar hemiarthroplasty group surgery time,blood loss,transfusion volume is less than the total hip arthroplasty group [（66.4 ± 10.0） min vs （85.3 ± 14.6） min],[（361.8 ±78.8） mLvs （550.9±149.7） mL],[（292.7 ±103.5） mLvs （400.4±99.8） mL] （P〈0.05）;1-year postoperative Harris hip score total hip arthroplasty group is superior to double pole hemimthroplasty group（Z =-8.96,P 〈 0.05）.Conclusion The therapeutic effect of total hip arthroplasty is better than bipolar hemiarthroplasty,but requires higher tolerance of patients,and the most appropriate surgical plan should be selected according to the physical condition of the patient and predictive mobility.
出处
《医学综述》
2014年第6期1123-1125,共3页
Medical Recapitulate
