摘要
目的:比较全髋与半髋关节置换术在治疗老年股骨颈骨折的远期临床疗效及安全性。方法:对2012年1月~2015年12月在某院接受治疗的78例老年股骨颈骨折患者进行了回顾性研究,其中40例患者(全髋组)采用全髋关节置换术进行治疗,38例患者(半髋组)采用半髋关节置换术进行治疗,对两组患者手术情况、术后相关并发症及远期疗效进行比较分析。结果:全髋组在手术时间、术中出血量显著高于半髋组,术后并发症发生率低于半髋组(P<0.05),但在住院时间及远期疗效方面,两组比较差异不显著(P>0.05)。结论:对于老年股骨颈骨折患者,全髋与半髋关节置换术远期治疗效果基本相同,但全髋关节置换术可减少术后并发症发生率,因此临床上应优先选择考虑。
Objective：To compare the long term clinical efficacy and safty of total and semi-hip arthroplasty for femoral neck fracture in the elderly patients.Methods：78 cases of elderly patients with femoral neck fracture admitted in a hospital from January 2012 to December 2015 were retrospectively studied.40 patients（total hip group）were treated with total hip arthroplasty,and 38patients（semi hip group）were treated by semi-hip arthroplasty.The operation,postoperative complications and long term efficacy of the two groups were compared.Results：The operation time and blood loss in the total hip group were significantly better than that in the semi-hip group,and the postoperative complication rate was lower than the semi hip group（P0.05）,but in terms of efficacy and long-term hospitalization time,the difference between the two groups was not significant（P0.05）.Conclusion：For elderly patients with femoral neck fracture,the treatment effect of total and semi-hip arthroplasty is basically the same for elderly patients with femoral neck fracture,but the total hip arthroplasty can reduce the incidence of postoperative complications,therefore the clinical preference should be considered.
出处
《数理医药学杂志》
2017年第8期1123-1125,共3页
Journal of Mathematical Medicine
关键词
老年股骨颈骨折
全髋关节置换术
半髋关节置换术
疗效
并发症
elderly femoral neck fractures
total hip arthroplasty
semi-hip arthroplasty
efficacy
complications
