764例股骨颈囊内骨折治疗方法的疗效比较  

Comparison of Efficacy of Operation on 764 cases of Fracture of the Femoral Neck

作　　者：马涛[1] 刘中远[1] 周健[1] 

机构地区：[1]上海第二医科大学仁济医院骨科,上海200001

出　　处：《上海交通大学学报（医学版）》2001年第6期535-536,539,共3页Journal of Shanghai Jiao tong University:Medical Science

摘　　要：目的探讨各型股骨颈囊内骨折的治疗原则及术式选择。　方法回顾性分析股骨颈囊内骨折 76 4例的临床资料 ,其中保守治疗 5 6例 ,各种内固定 2 32例 ,单、双极人工股骨头置换 184例 ,全髋置换 2 92例。　结果平均随访时间 6 2年 ,手术死亡 1例 ,恢复行走 46 9例 ,内固定组中再手术者 5 6例 ,人工股骨头置换组再行全髋置换术11例。Harris评分 ,全髋置换术优良率最高 ,达 86 99% ,内固定术最低 ,为 49 5 7%。　结论股骨颈囊内骨折治疗方法选择 ,取决于患者的健康状况。Objective To evaluate the indication and selection of operation to different types of fracture of the femoral neck. Methods A total of 764 cases of fracture of the femoral neck were analyzed retrospectively, including conservative treatment for 56, different internal fixations for 232, unipolar or bipolar prosthetic replacement for 184, and total hip replacement (THR) for 292. Results In an average follow-up of 6.2 years, 469 cases recovered in ability of walking, 56 underwent re operation, 11 underwent a second THR, and 1 died. Harris score showed that effective rate of THR was the highest (86.77%) and internal fixation, the lowest (49.57%). Conclusion The results indicate that choice of operation is due to type of fracture, patients' health and economic state.

关 键 词：股骨颈 骨折 手术 

分 类 号：R683.42[医药卫生—骨科学]