摘要
目的：探讨分别开展全髋关节置换术以及半髋关节置换术对老年股骨颈骨折患者加以治疗后表现出的疗效差异.方法：选择我院2014年12月~2016年9月老年股骨颈骨折患者92例作为研究对比对象;临床选择数字奇偶法对老年股骨颈骨折患者分组;分别选择全髋关节置换术以及半髋关节置换术对观察组以及对照组老年股骨颈骨折患者开展疾病治疗工作;回顾性分析2组老年股骨颈骨折患者表现出的疗效差异.结果：观察组老年股骨颈骨折患者手术过程中出血量以及临床手术时间同对照组老年股骨颈骨折患者比较,呈现出明显增多（P〈0.05）;但是观察组老年股骨颈骨折手术患者髋关节功能恢复时间以及术后疼痛出现概率同对照组老年股骨颈骨折患者,呈现出的优势极为明显（P〈0.05）.观察组老年股骨颈骨折患者治疗优良率95.65%,同对照组老年股骨颈骨折患者80.43%比较,升高优势显著（P〈0.05）.观察组老年股骨颈骨折患者术后并发症发生率6.52%,同对照组老年股骨颈骨折患者19.57%比较,降低程度极为显著（P〈0.05）.结论：老年股骨颈骨折患者,临床在研究疾病治疗方案期间,不论开展全髋关节置换术治疗或者开展半髋关节置换术治疗,最终获得的手术结果各有利弊,在现实确定手术方案治疗期间,需要依据股骨颈骨折患者表现出的疾病程度、患者的自身情况以及患者的个人意愿等确定合理的手术治疗方案,以优化老年股骨颈骨折患者的生活质量.
Objective： ： To investigate the efficacy of total hip arthmplasty and hemiarthroplasty for the treatment of femoral neck fractures in elderly patients. Methods： in our hospital from December 2014 to 2016 09 elderly patients with femoral neck fracture in 92 cases as the research object in contrast; clinical choice of digital parity method for femoral neck fractures in the elderly were selected; total hip arthroplasty and hip replacement in the observation group and the control group of elderly patients with femoral neck fracture in treatment of diseases; a retrospective analysis of two patients of femoral neck fractures in the elderly patients showed the curative effect difference. Results： the bleeding volume in observation group of elderly patients with femoral neck fracture during operation and clinical operation time with the control group of elderly patients with femoral neck fracture, showing a significant increase （ P 〈 0.05 ） ; however, the obser- vation group of femoral neck fractures in the elderly patients with hip joint function recovery time and postoperative pain control in patients with the same probability of group of elderly femoral neck fracture, showing very obvious advantages （ P 〈 0.05 ）. The excellent and good rate of the elderly patients with femoral neck fracture in the observation group （95.65%） was higher than that of the control group （n = 80.43% ）, and the increase was significantly higher （ P 〈 0.05 ）. The incidence of postoperative complications in elderly patients with femoral neck fracture （6.52%） was significantly higher than that in control group （ n = 19.57% ）, and the degree of reduction was sig- nificant （ P 〈 0.05 ）. Conclusion： for elderly patients with femoral neck fracture, clinical research in disease treatment period, whether to carry out or carry out total hip arthroplasty for hip replacement in the treatment, finally obtained surgical results had advantages and disad- vantages, during the practical need to determine the
出处
《中国伤残医学》
2017年第16期1-3,共3页
Chinese Journal of Trauma and Disability Medicine
