高龄髋部骨折的临床分析  

Therapeutic effects for the treatment of senile hip fractures

作　　者：毛敦 

机构地区：[1]苏州枫桥人民医院骨科,江苏苏州215000

出　　处：《中国骨伤》2009年第7期511-512,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨高龄老人髋部骨折的治疗方法和疗效。方法:自2001年至2006年,分析高龄(75岁以上)髋部骨折136例的治疗及结果。其中男37例,女99例;年龄75～97岁,90岁以上6例,最高97岁,平均年龄78.9岁。136例均伴有多种内科慢性疾病。采用非手术治疗34例,手术治疗102例。结果:随访136例骨折后1年内的治疗效果,手术治疗组1年内死亡9例,死亡率8.82%;非手术组1年内死亡23例,死亡率67.65%。结论:手术治疗高龄髋部骨折能有效减少并发症,降低死亡率,如能顺利度过围手术期,则能显著提高患者伤后生活质量,满足生活要求。Objective：To explore the surgical methods and therapeutic effects for the treatment of senile hip fractures. Methods：From 2001 to 2006,136 senility patients （over 75 years old） were reviewed in the study. Among the patients, 37 patients were male and 99 patients were female ,ranging in age from 75 to 97 years ,with an average of 78.9 years （6 patients over 90 years, and the highest age was 97 years）. All the patients were combined with chronicity internal medicine diseases. Thirty-four patients were treated with non-operative method and other 102 patients were treated with operative method. Results：All the patients were followed up for an average of 12 months. In operation group,9 patients were dead within 1 year,and the mortality was 8.82%. And in non-operation group, 23 patients were dead within 1 year, and the mortality was 67.65%. Conclusion： Operation treatment for senile hip fractures was effective to reduce complications,lower mortality. If the patients can pull though the perioperative period successfully, the quality of life will be enhanced remarkably.

关 键 词：髋骨折 老年人 80岁以上 骨科手术方法 死亡率 

分 类 号：R683.3[医药卫生—骨科学] R576[医药卫生—外科学]