不同手术方式治疗股骨颈骨折的疗效费用分析  

Analysis of Therapeutic Effectiveness and Cost of Femoral Neck Fractures Treated with Different Operative Methods

作　　者：张仁明[1] 余黎明[1] 朱健[1] 张克云[1] 田科良[1] 林昕[1] 瞿哲[1] 

机构地区：[1]怀化医专附属医院骨科,湖南怀化418000

出　　处：《怀化医专学报》2008年第2期32-35,共4页

摘　　要：目的对不同手术方式治疗股骨颈骨折进行疗效和费用两方面评价。方法回顾性分析1996～2005年手术治疗的82例股骨颈骨折患者。其中17例采用多根斯针内固定、11例用动力髋螺钉内固定、25例用AO空心螺钉内固定，29例采用人工股骨头置换。术后2年对患者髋关节功能以及患者的住院费用进行比较分析。结果按照Harris评分，多根斯针固定组、动力髋螺钉组、空心螺钉组和股骨头置换组的优良率分别为88．2％，81．8％，88．0％和89．7％，组问差异无显著性。四组患者的平均住院费用分别为：6．91±1．83千元，11．85±2．36千元，12．54±3．24千元以及18．70±4．11千元，多根斯针固定组、空心螺钉组和股骨头置换组组间差异性显著。结论合理地选择股骨颈骨折的治疗方法，不但能提高疗效，还可以减少医疗费用。Objective To evaluate the therapeutic effectiveness and the cost of femoral neck fractures treated with different operative methods. Methods Eighty - two patients with femoral neck fracture from the year 1996 to 2005 were reviewed. Internal fixation by multiple Steinmann＇s pins was used in 17 cases, fixation by DHS in 11 cases and by cannulatedscrews in 25 cases, and 29 patients underwent hemiarthroplasty . The functional assessment of 2 years after op- eration and costs of hospitalization were compared. Results According to Harris score, the satisfactory rate of internal fixation by multiple Steinmann＇s pins, fixation by DHS, fixation by cannulated screws and hemiarthroplasty were 88.2%, 81.8%, 88%and89.7%, respectively. There was no significant Statistical diference among the groups. The average medical treatment total costs of each group were6.91 ± 1.83, 11.85±2.36, 12.54± 3.24 and 18.70±4.11 thousand yuan, respectively. There was significant statistical difierence between the groups of multiple Steinmann＇s pins , cannulated screws and hemiarthroplasty. Conclusion Reasonally selecting the operatve methods for femeral neck fracture can not only promote fracture recovery but also reduce total medical cost.

关 键 词：股骨颈骨折 手术方式 疗效 费用 

分 类 号：R683.42[医药卫生—骨科学]