两种不同术式治疗老年股骨颈骨折的临床分析  

Clinical analysis of two different modus operandi treatment for gerontism transcervical fracture

作　　者：刘华彦[1] 唐运鹏[1] 胡朝晖[1] 

机构地区：[1]广西壮族自治区柳州市人民医院骨科,广西柳州545006

出　　处：《中国当代医药》2012年第18期52-53,共2页China Modern Medicine

摘　　要：目的探讨全髋关节置换术(THR)与人工股骨头置换术(FHR)治疗老年人股骨颈骨折的临床效果。方法将60岁以上老年股骨颈骨折患者98例随机分为两组,观察组49例行THR治疗,对照组49例行FHR治疗,并比较两种术式的疗效。结果观察组的优良率为95.92%,明显高于对照组的83.67%(P<0.05),手术时间与术中出血明显高于对照组(P<0.05),并发症发生率明显低于对照组(P<0.05),而住院时间和住院费用差异无统计学意义(P>0.05)。结论 THR临床疗效较高,并发症少,是治疗老年人股骨颈骨折的首选方法。Objective To discuss the clinical effect of the total hip replacement （THR） and artificial femoral head replace- ment（FHR）treatment for the gerontism transcervical fracture. Methods Ninety-eight patients with transcervical fracture, who were all more than 68 years old, and which were randomly divided into two groups, 49 cases in the observation group were treated by the THR, and 49 cases in the control group were treated by the FHR, and then the effects of the two dif- ferent modus operandi were compared. Results The excellent rate of the observation group was 95.92%, and which-was higher than the control group for 83.67% （P 〈 0.05）, and the number of treatments and bleeding were higher than the con- trol group （P 〈 0.05）, and the incidence rate of the complication was lower than the control group （P 〈 0.05）, but the length of stay and hospital expense were no statistical significance between two groups （P 〉 0.05）. Conclusion The THR has cu- rative effect in the clinical, less complication, it is a first choice method to treat the gerontism transcervical fracture.

关 键 词：老年股骨颈骨折 全髋关节置换术 人工股骨头置换术 临床分析 

分 类 号：R683.42[医药卫生—骨科学]