两种手术方法治疗高龄股骨颈骨折的疗效比较  

Curative effect comparison of two surgical kinds in treatment of femoral neck fractures

作　　者：崔明宇[1] 乔添柱[1] 沙宪辉[1] 宋银冬[1] 沈建辉[1] 巢鹏程[1] 李刚[1] 

机构地区：[1]黑龙江省大庆油田总医院骨科,黑龙江大庆163001

出　　处：《中国现代医生》2012年第20期37-38,共2页China Modern Doctor

摘　　要：目的对比研究两种手术方法治疗高龄股骨颈骨折的临床疗效。方法将我院2008年1月～2011年1月入院手术的66例高龄股骨颈骨折作为研究对象,根据随机数字表法分为Ⅰ组(全髋关节置换术)和Ⅱ组(人工股骨头置换术)各33例,应用统计学方法对比分析两组的手术效果。结果Ⅰ组髋关节Harris评分优良率达87.88%,明显高于Ⅱ组(P<0.05)。Ⅱ组的手术出血量明显少于Ⅰ组(P<0.05)。Ⅰ组术后近中期的并发症明显少于Ⅱ组(P<0.05)。结论两种手术方法治疗高龄股骨颈骨折均具有较好的临床疗效,且各具优缺点,临床医生应该结合患者的具体情况选择最合适的手术方式。Objective To compare the efficacy of two kinds in treatment of femoral neck fractures. Methods From January 2008 to January 2011,66 cases femoral neck fracture according to the random number table were divided into group I（total hip replacement surgery） and Group II （artificial femoral head replacement surgery） ,each group had 33 cases, the operation efficacy were compaed by the statistical methods. Results The Harris hip score excellent rate of group I was 87.88%, significantly higher than Group II （P 〈 0.05）.The blood loss of Group II was significantly less than group I （P 〈 0.05）. The mid-term complications of I group was significantly less than group II （P 〈 0.05）. Conclusion Two surgical techniques treatment femoral neck fractures all have better clinical efficacy,and each have advantages and disadvantages,clinicians should combine with the patient＇s specific situation to choose the most appropriate surgical approach.

关 键 词：股骨颈骨折 高龄 全髋关节置换术 人工股骨头置换术 

分 类 号：R687.3[医药卫生—骨科学]