全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的疗效对比分析(1)
摘要：目的 比较老年股骨颈骨折患者通过全髋关节与半髋关节置换术治療后取得的临床成效。方法 选取2015年1月～2016年6月收治的老年股骨颈骨折患者80例，随机分为观察组和对照组各40例。对照组患者治疗方法为半髋关节置换术治疗，观察组患者应用全髋关节置换术治疗。针对两组患者平均手术时间、术中出血量、术后引流量及不良反应发生情况进行比较。结果 两组比较平均手术时间、术中出血量及术后引流量方面，对照组各值明显低于观察组各值，两组差异明显，具有统计学意义(P<0.05)；针对不良反应发生情况，观察组发生率(10.00%)显著低于对照组(20.00%)，两组差异明显，具有统计学意义(P<0.05)。结论 老年股骨颈骨折患者通过全髋关节与半髋关节置换术治疗后均能取得显著的治疗效果，但其各有优缺点，应综合考虑患者的年龄及身体状况，选择合适的关节置换方式。
关键词：全髋关节置换；半髋关节置换术；股骨颈骨折
中图分类号：R687.4 文献标识码：A 文章编号：1006-1959(2017)19-0054-03
, 百拇医药
Comparison analysis of Total Hip Arthroplasty and Hemiarthroplasty for the Treatment of Femoral Neck Fracture in the Elderly
ZHOU An-ling
(Department of Orthopedics，Zhongjiang County People's Hospital，Deyang 618100，Sichuan，China)
Abstract：Objective To compare the clinical efficacy of patients with femoral neck fractures in the elderly through total hip arthroplasty and hemiarthroplasty.Methods 80 elderly patients with femoral neck fracture admitted from January 2015 to June 2016 were randomly divided into the observation group and the control group with 40 cases in each group.The patients in the control group were treated with hemiarthroplasty and the patients in the observation group were treated with total hip arthroplasty.The mean operative time，intraoperative blood loss，postoperative drainage and adverse events were compared between the two groups.Results The comparison between the two groups the average operation time，blood loss and postoperative drainage during the operation，the control group was significantly lower than the observation group，the difference between the two groups was statistically significant(P<0.05)；the incidence of adverse reactions，the incidence rate of the observation group(10.00%)was significantly lower than that of control group(20.00%)，the difference was statistically significant(P<0.05).Conclusion The patients with femoral neck fractures in the elderly can achieve significant therapeutic effect after total hip arthroplasty and hemiarthroplasty.However，they have advantages and disadvantages.They should consider the age and physical condition of the patients and choose the appropriate joint replacement method.
Key words：Total hip arthroplasty；Hemiarthroplasty；Femoral neck fracture
老年股骨颈骨折是临床常见的老年骨性疾病，是指老年人在严重外伤或骨质疏松等因素影响下，股骨颈出现断裂的情况，主要临床表现为：疼痛、肿胀、畸形、患肢短缩及功能障碍等[1]，该病多见于50～70岁，因老年人骨质疏松，股骨颈脆弱，轻微跌倒即可发生骨折。该部分血运较差，若骨折处理不及时、不适当，会导致骨折不愈合或并发股骨头缺血性坏死，创伤性关节炎，严重的影响老年人的生活和患者健康，必须加强对患者的有效治疗。本文为比较我院80例老年股骨颈骨折患者通过全髋关节与半髋关节置换术治疗后取得的临床成效进行前瞻性研究，请看如下报告。, 百拇医药(周安令)
关键词：全髋关节置换；半髋关节置换术；股骨颈骨折
中图分类号：R687.4 文献标识码：A 文章编号：1006-1959(2017)19-0054-03
, 百拇医药
Comparison analysis of Total Hip Arthroplasty and Hemiarthroplasty for the Treatment of Femoral Neck Fracture in the Elderly
ZHOU An-ling
(Department of Orthopedics，Zhongjiang County People's Hospital，Deyang 618100，Sichuan，China)
Abstract：Objective To compare the clinical efficacy of patients with femoral neck fractures in the elderly through total hip arthroplasty and hemiarthroplasty.Methods 80 elderly patients with femoral neck fracture admitted from January 2015 to June 2016 were randomly divided into the observation group and the control group with 40 cases in each group.The patients in the control group were treated with hemiarthroplasty and the patients in the observation group were treated with total hip arthroplasty.The mean operative time，intraoperative blood loss，postoperative drainage and adverse events were compared between the two groups.Results The comparison between the two groups the average operation time，blood loss and postoperative drainage during the operation，the control group was significantly lower than the observation group，the difference between the two groups was statistically significant(P<0.05)；the incidence of adverse reactions，the incidence rate of the observation group(10.00%)was significantly lower than that of control group(20.00%)，the difference was statistically significant(P<0.05).Conclusion The patients with femoral neck fractures in the elderly can achieve significant therapeutic effect after total hip arthroplasty and hemiarthroplasty.However，they have advantages and disadvantages.They should consider the age and physical condition of the patients and choose the appropriate joint replacement method.
Key words：Total hip arthroplasty；Hemiarthroplasty；Femoral neck fracture
老年股骨颈骨折是临床常见的老年骨性疾病，是指老年人在严重外伤或骨质疏松等因素影响下，股骨颈出现断裂的情况，主要临床表现为：疼痛、肿胀、畸形、患肢短缩及功能障碍等[1]，该病多见于50～70岁，因老年人骨质疏松，股骨颈脆弱，轻微跌倒即可发生骨折。该部分血运较差，若骨折处理不及时、不适当，会导致骨折不愈合或并发股骨头缺血性坏死，创伤性关节炎，严重的影响老年人的生活和患者健康，必须加强对患者的有效治疗。本文为比较我院80例老年股骨颈骨折患者通过全髋关节与半髋关节置换术治疗后取得的临床成效进行前瞻性研究，请看如下报告。, 百拇医药(周安令)
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