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  

Total hip replacement surgery and cannulated screw fixation treatment of femoral neck fractures

作　　者：赵强 

机构地区：[1]河南省信阳市中心医院骨科,河南信阳464000

出　　处：《中国现代医生》2012年第27期54-55,共2页China Modern Doctor

摘　　要：目的比较全髋置换术和空心钉内固定术治疗股骨颈骨折的手术效果情况,旨在为临床治疗提供参考依据。方法选取我院2008年9月～2012年3月间住院治疗的股骨颈骨折患者64例,全部患者随机分为A组(全髋置换术)和B组(空心钉内固定术)各32例,观察比较两组的手术治疗效果。结果与B组比较,A组虽然手术时间长,术中出血量多,但术后患者下床活动时间早(P<0.01)。A组术后有效率明显高于B组,A组并发症例数明显少于对照组(P<0.05)。结论全髋置换术和空心钉内固定术治疗股骨颈骨折各具优缺点,临床医生应严格掌握其适应证。Objective To compare the results of total hip arthroplasty and surgical cannulated screw fixation for femoral neck fracture, and to provide for clinical treatment of reference. Methods In our hospital from September 2008 to March 2012,64 patients femoral neck fracture were randomly divided into group A （total hip replacement surgery） and group B （hollow screw fixation）, each group had the 32 cases, the effect observed and compared between two groups of surgical treatment. Results Compared with group B, group A had longer operation time, blood loss, postoperative patients out of bed early （P 〈 0.01）. A postoperative efficiency was significantly higher than group B, group A number of complications in patients was significantly less than the control group （P 〈 0.05）. Conclusion The total hip replacement surgery and cannu- lated screw fixation of femoral neck fracture, each with advantages and disadvantages, clinicians should be strictly controlled its indications.

关 键 词：全髋置换术 空心钉内固定术 股骨颈骨折 

分 类 号：R683.42[医药卫生—骨科学]