全髋置换术和空心钉内固定术治疗股骨颈骨折的疗效比较  

The Comparison of Curative Effect about Total Hip Replacement Surgery and Cannulated Screw Fixation of Femoral Neck Fractures

作　　者：陈佳生[1] 

机构地区：[1]福建省厦门市第三医院骨科,361100

出　　处：《中国医药指南》2010年第14期16-17,共2页Guide of China Medicine

摘　　要：目的探讨全髋置换术和空心钉内固定术治疗股骨颈骨折的临床疗效。方法 64例股骨颈骨折随机分为全髋置换组(B组)和空心钉内固定术组(A组)各32例,观察比较两组的临床疗效及手术效果情况。结果两组疗效经统计学分析,差异有显着性(P<0.05)。两组在平均住院时间、平均手术时间、平均术中术后出血量、平均下地时间、平均术中术后输血量方面比较,差异有显著性(P<0.05)。结论全髋置换术和空心钉内固定术是治疗老年股骨颈骨折的有效方法,但空心钉内固定术在平均住院时间、平均手术时间、平均术中术后出血量、平均下地时间、平均术中术后输血量方面比全髋置换术效果好。Objective To investigate the clinical efficacy about the total hip replacement surgery and cannulated screw fixation of femoral neck fracture. Methods 64 cases of femoral neck fractures were randomly divided into total hip replacement group （B group） and cannulated screw fixation group （A group） of 32 cases observed and compared the two groups of clinical efficacy and results of operations. Results The two groups by statistical analysis of efficacy, the difference was significant （P〈0.05）. The two groups in the average length of stay, mean operative time, the average amount of intraoperative and postoperative bleeding, the average time to walk, the average amount of intraoperative and postoperative blood transfusion in comparison, there was a significant difference （P〈0.05）. Conclusion Total hip replacement surgery and cannulated screw fixation is the treatment of senile femoral neck fracture in an effective way, but the hollow screw fixation in the average length of stay, mean operative time, the average amount of intraoperative and postoperative bleeding, the average time to walk, the average operation the amount of postoperative blood transfusion than the good results of total hip replacement surgery.

关 键 词：股骨颈骨折 全髋置换术 空心钉内固定术 

分 类 号：R683.42[医药卫生—骨科学]