比较全髋关节置换术和人工股骨头置换术治疗老年性股骨颈骨折的有效性及安全性  

Comparison of the Effectiveness and Safety of Total Hip Replacement and Artificial Femoral Head Replacement in the Treatment of Elderly Femoral Neck Fractures

作　　者：王珏 WANG Jue(Department of Joint and Sports Medicine,Jinxiang County People's Hospital,Jining 272200,China)

机构地区：[1]金乡县人民医院关节与运动医学科,山东济宁272200

出　　处：《反射疗法与康复医学》2024年第8期152-154,162,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨全髋关节置换术、人工股骨头置换术对老年性股骨颈骨折(FNF)患者的影响。方法选取2020年4月—2023年4月金乡县人民医院收治的78例老年性FNF患者为研究对象,按随机数字表法将其分为对照组与观察组,各39例。对照组行人工股骨头置换术,观察组行全髋关节置换术,术后随访6个月。对比两组的围术期指标、髋关节功能、生活质量及并发症发生情况。结果观察组术中出血量为(425.97±23.65)mL,术后引流量为(143.21±11.59)mL,均多于对照组的(258.63±15.69)mL、(90.35±8.26)mL,手术时间为(103.47±9.18)min,长于对照组的(89.83±7.35)min,组间差异有统计学意义(P<0.05)。术后6个月,观察组髋关节Harris评分量表评分为(83.21±7.11)分,生活质量综合评定问卷内各维度评分分别为(76.89±5.01)分、(80.43±4.29)分、(76.85±4.38)分、(79.64±4.11)分,均高于对照组的(69.83±6.20)分、(68.53±4.16)分、(67.56±3.41)分、(68.73±3.95)分、(71.56±3.59)分,组间差异有统计学意义(P<0.05)。两组并发症发生率对比,差异无统计学意义(P>0.05)。结论全髋关节置换术虽然会延长手术时间,增加出血量、引流量,但其更能够促进老年性FNF患者髋关节功能恢复,改善生活质量,且无严重并发症,存有一定的应用价值。Objective To investigate the effect of total hip replacement and artificial femoral head replacement on senile femoral neck fracture(FNF).Methods A total of 78 elderly patients with FNF admitted to Jinxiang County People's Hospital from April 2020 to April 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 39 cases in each group.The control group underwent artificial femoral head replacement,the observation group underwent total hip replacement,and were followed up for 6 months.Perioperative indexes,hip function,quality of life and complications were compared between the two groups.Results The intraoperative blood loss and postoperative drainage volume in the observation group were(425.97±23.65)mL and(143.21±11.59)mL,both of which were greater than(258.63±15.69)mL and(90.35±8.26)mL in the control group,and the operative time was(103.47±9.18)min,it was longer than(89.83±7.35)min of the control group,and the differences between groups were statistically significant(P<0.05).6 months after surgery,the hip Harris rating scale score of the observation group was(83.21±7.11)points,and the General Quality of Life Inventory-74 scores were(76.89±5.01)points,(80.43±4.29)points,(76.85±4.38)points,(79.64±4.11)points,respectively,they were higher than(69.83±6.20)points,(68.53±4.16)points,(67.56±3.41)points,(68.73±3.95)points and(71.56±3.59)points in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Although total hip replacement can prolong the surgical time,increase bleeding and drainage volume,it can better promote hip joint function recovery and improve quality of life in elderly patients with FNF,without serious complications,and has certain application value.

关 键 词：股骨颈骨折 全髋关节置换术 并发症 生活质量 

分 类 号：R687.3[医药卫生—骨科学]