全髋置换术和空心钉内固定术治疗股骨颈骨折的手术疗效对比分析  

Comparative Analysis of Total Hip Replacement Surgery and Cannulated Screw Fixation of Femoral Neck Fracture Surgery

作　　者：张荣洁 

机构地区：[1]兴安界首中西医结合医院骨科,广西兴安541300

出　　处：《中国现代医生》2011年第29期130-131,共2页China Modern Doctor

摘　　要：目的对比分析两种方法治疗股骨颈骨折的手术疗效。方法我院2007年1月～2011年1月就诊的100例股骨颈骨折患者根据入院先后的顺序随机分为两组各50例,其中A组应用全髋置换术,B组应用空心钉内固定术治疗。综合评估两组的Harris髋关节评分及手术时间、出血量、卧床时间等临床观察指标。结果与B组比较,A组髋关节功能的优良率明显高于B组,并发症的发生率明显低于B组,差异有统计学意义(P<0.01),但A组手术时间长,术中出血量多,卧床时间短(P<0.01)。结论对股骨颈骨折患者,尤其老年患者,全髋置换术卧床时间短,术后并发症少,髋关节功能方面优良率高,其手术疗效明显优于空心钉内固定术。而且临床上对有移位的股骨颈囊内骨折,年龄>59岁者,应当首选人工关节置换术。Objective To compare the analysis of total hip replacement surgery and cannulated screw fixation of femoral neck fracture surgery. Methods All 100 cases of femoral neck fractures were randomly divided into group A and group B with 50 cases in each group. A comprehensive assessment was established between two groups of surgery in the hospital from January 2007 to January 2011. Results The excellent hip function in group A was significantly higher than that in group B, yet the incidence of complications was significantly lower than that in group B, and there was statistically significant difference （P 〈 0.01 ）. The operation took a longer time, more blood loss, shorter time in bed in group A （P 〈 0.01 ）. Conclusion For the femoral neck fracture patients, especially elderly patients, total hip arthroplasty in bed has taken a shorter time, less postoperative complications, higher quality hip function, and its snrgical treatment is superior to the hollow screw fixation. Clinical capsule of a displaced femoral neck fracture, over age 59 , total hip replacement should be preferred.

关 键 词：股骨颈骨折 全髋置换术 空心钉内固定术 

分 类 号：R687.3[医药卫生—骨科学]