摘要
目的:探讨用人工股骨头置换术对老年股骨转子间骨折患者进行治疗的临床效果。方法:选择2017年8月至2018年9月期间山东省临沂市沂南县妇幼保健院收治的94例老年股骨转子间骨折患者作为研究对象。将这94例患者分为对照组(n=47)和观察组(n=47)。对对照组患者进行股骨近端防旋髓内钉内固定术,对观察组患者进行人工股骨头置换术。然后,比较两组患者的临床疗效、术毕至可负重行走的时间、住院的时间、进行手术的时间、术中的出血量及其术后并发症的发生率。结果:治疗后,与对照组患者相比,观察组患者治疗的总有效率更高,其术毕至可负重行走的时间、住院的时间、进行手术的时间均更短,其术中的出血量更少,其术后并发症的发生率更低,P<0.05。结论:用人工股骨头置换术对老年股骨转子间骨折患者进行治疗的临床效果确切,可有效地降低其术后并发症的发生率。
Objective:To investigate the clinical effect of artificial femoral head replacement in the treatment of elderly patients with intertrochanteric fracture.Methods:94 elderly patients with intertrochanteric fracture of femur admitted to Yinan Maternal and Child Health Hospital,Linyi City,Shandong Province from August 2017 to September 2018 were selected as study subjects.The 94 patients were divided into control group(n=47)and observation group(n=47).Patients in the control group were treated with proximal antirotation intramedullary nail fixation,and patients in the observation group were treated with artificial femoral head replacement.Then,the clinical efficacy,the time from the end of surgery to weight-bearing walking,the time of hospitalization,the time of operation,the amount of intraoperative blood loss and the incidence of postoperative complications were compared between the two groups.Results:After treatment,compared with the control group,the observation group patients had higher total effective rate of treatment,shorter time from the end of surgery to weight-bearing walking,hospital stay and operation,less intraoperative blood loss,and lower incidence of postoperative complications(P<0.05).Conclusion:Artificial femoral head replacement is effective in the treatment of elderly patients with intertrochanteric fracture,and can effectively reduce the incidence of postoperative complications.
作者
刘明辉
王凤芹
Liu Minghui;Wang Fengqin(Women and Children Health Hospital of Yinan County,Linyi City,Shandong Province,Linyi 276017,China)
关键词
股骨转子间骨折
人工股骨头置换术
并发症
intertrochanteric fracture of femur
Artificial femoral head replacement
complications
