摘要
目的探讨全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的效果。方法选择在本院行手术置换治疗的老年股骨颈骨折患者82例,随机将其分为观察组(41例)和对照组(41例),其中观察组给予全髋关节置换术,对照组予以人工股骨头置换术,对比分析两组患者手术时间、术中出血量、术中血压、术后引流量及近远期疗效。结果观察组患者手术时间(113.6±19.3)分钟、出血量(432.1±32.7)ml、收缩压(136±37)mmHg,均显著高于对照组[(75.3±9.7)分钟、(213.5±28.7)ml、(123±29)mmHg],两组比较差异有显著性(t=7.132、6.835、7.951,P<0.05);观察组患者术后引流量与对照组比较差异无显著性(P>0.05);观察组患者Harris评分为(93.25±4.51)分,显著优于对照组[(82.76±3.82)分],两组比较差异有显著性(t=5.981,P<0.05),观察组患者治疗总优良率为87.8%,显著高于对照组(75.6%),两组比较差异有显著性(χ2=5.173,P<0.05);术后两组患者不良反应发生率比较差异无显著性(P>0.05)。结论全髋关节置换术患者术后髋关节功能恢复情况优于人工股骨头置换术,值得在相对年龄小、体质强、对髋关节功能有较高要求的人群中推广应用。
Objective To investigate the total hip arthroplasty and hemiarthroplasty for treatment of femoral neck fractures. Method 82 elderly patients with femoral neck fracture underwent surgical replacement therapy in our hospital were randomly divided into observation group and control group. 41 patients were in each group. The control group was given total hip arthroplasty while the observation group was given artiifcial shares bone replacement surgery. The surgical time, blood loss, intraoperative blood pressure, postoperative drainage and near term efifcacy were compared between the two groups. Result The operative time, blood loss and systolic blood pressure of the observation group were （113.6±19.3） min, （432.1±32.7） ml and （136±37） mmHg signiifcantly higher than （75.3±9.7） min, （213.5±28.7） ml and （123±29） mmHg of the control group, the difference was statistically signiifcant （t=7.132, 6.835, 7.951, P0.05）;Harris scores of the observation group was （93.25±4.51） signiifcantly better than （82.76±3.82） of the control group, the difference was statistically signiifcant （t=5.981, P0.05）. Conclusion Postoperative functional recovery of total hip arthroplasty has better effect than hip hemiarthroplasty, and it is worth to be applied for relatively young age, physical strength, right hip function in populations with higher requirements.
出处
《中国医学前沿杂志（电子版）》
2014年第6期129-131,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
