股骨颈骨折患者行无柄全髋关节置换与有柄全髋关节置换的比较  

Femoral Neck Fractures were Non-stem Total Hip Replacement and Total Hip with Handle Comparison of Joint Replacement

作　　者：曹李华 廖红波 田野 

机构地区：[1]湖南省衡阳市第一人民医院骨科,湖南衡阳421002

出　　处：《中国医药指南》2012年第20期59-60,共2页Guide of China Medicine

摘　　要：目的比较无柄全髋关节置换与有柄全髋关节置换治疗股骨颈骨折的临床疗效。方法自2005年3月至2009年11月,对80例股骨颈骨折患者根据手术方法不同,分为无柄全髋关节置换组(无柄组)和有柄全髋关节置换组(有柄组),对两组手术切口、手术时闻、术中出血量及Harris评分进行比较。结果无柄组手术切口、手术时间、术中出血量少于有柄组,术后2周Harris评分高于有柄组。结论在严格选择手术适应证的情况下,无柄全髋关节置换术和有柄全髋关节置换具有相似的近中期临床疗效,但后者具有小切口美观、组织创伤小、疼痛少,并发症少及早期即恢复日常生活与功能等优点。Objective Comparison of non-stem total hip replacement with a stem of total hip arthroplasty femoral neck fracture in clinical efficacy. Methods Since March 2005 - Nov. 2009, 80 cases of femoral neck fractures according to different surgical methods were divided into non-stem total hip replacement group （non-stem group） and stem total hip replacement group （with handle group）, on the two incision, surgery smell, blood loss, postoperative early active time, hospital stay and Harris score were compared.Results Sessile group incision, operation time, blood loss less than a handle group, after 2 weeks in Harris score higher than a handle group.Conclusion Surgical indication in the strict case selection, sessile total hip arthroplasty and total hip replacement stem with similar recent mid-term clinical efficacy, but the latter has the appearance of small incision, tissue trauma, less pain, fewer complications and early resumption of daily life and function of the advantages.

关 键 词：股骨颈骨折治疗 小切口 全髋关节置换术 对比研究 

分 类 号：R683.42[医药卫生—骨科学]