摘要
目的探讨髋关节置换术和内固定术治疗老年股骨颈骨折的效果。方法将我院2010年7月~2015年1月收治的65例老年移位性股骨颈骨折患者按治疗方法的不同分为髋关节置换组(31例)和内固定组(34例)。内固定组患者采用内固定术,髋关节置换组患者采用髋关节置换术。观察两组患者的术中出血量、手术时间、住院时间及术后远期并发症、再手术率,并对两组患者术后1、2年的髋关节功能进行比较。结果与髋关节置换组比较,内固定组患者的术中出血量少、手术时间短、住院时间短,差异均有统计学意义(P<0.05)。内固定组患者的术后远期并发症发生率(26.5%)、再手术率(23.5%)均明显高于髋关节置换组(9.7%、6.5%),差异均有统计学意义(P<0.05)。髋关节置换组术后1、2年的髋关节功能优良率明显优于内固定组,差异有统计学意义(P<0.05)。结论髋关节置换术治疗老年移位性股骨颈骨折远期效果较好,值得临床推广。
Objective To investigate the effect of hip arthroplasty （HA） and internal fixation （IF） in the treatment of dis- placed femoral neck fracture in elderly patients.Methods 65 cases of elderly patients with femoral neck fracture were selected as the subjects,who were hospitalized in our hospital from July 2010 to January 20!5.They were divided into the HA group （31 cases） and the IF group （34 cases） according to different treatment methods.The patients in the IF group were treated with IF,and the patients in the HA group were treated with HA.The intraoperative blood loss,duration of operation,length of hospital stay,lncidence of postoperative complication and reoperation rate in the two groups were recorded.The hip function of the two groups was compared in the first,second years after operation.Results~ Compared with the HA group,the IF group patients had less intraoperative bleeding,shorter operation time and shorter hospitaliza- tion time,and the difference between the two groups was statistically significant （P〈O.05）.The long term postoperative complication rate was 26.5% in the IF group and was 9.7% in the HA group,the reoperation rate was 23.5% in the IF group and was 6.5% in the HA group,the difference between the two groups was statistically significant （P〈0.O5）.The excellent and good rate of hip joint function in the HA group was better than that in the IF group,the difference be- tween the two groups was statistically significant （P〈O.O5）.Condusion The long-term clinical effect of HA in the treat- ment of displaced femoral neck fracture in elderly patients is better than that of internal fixation and it is worthy of clinical oromotion.
出处
《中国当代医药》
2018年第1期79-81,共3页
China Modern Medicine
关键词
髋关节置换术
内固定术
股骨颈骨折
老年人
髋关节功能
Hip arthroplasty
Internal fixation
Femoral neck fracture
Elderly patients
Hip joint function
