全髋关节置换术与空心钉内固定术治疗股骨颈骨折的临床疗效比较分析  

Comparative analysis of clinical curative effect of total hip replacement and cannulated lap screw internal fixation for femoral neck fractures

作　　者：程跃[1] 

机构地区：[1]四川省眉山市中医医院骨科,四川眉山620010

出　　处：《中国民族民间医药》2013年第3期27-28,共2页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:对比分析全髋关节置换术与空心钉内固定术治疗股骨颈骨折的临床疗效。方法:选取我院于2008年3月至2012年4月收治的50例股骨颈骨折的患者,将其随机分成实验组与对照组,每组均为25例。对照组接受空心钉内固定术,实验组接受全髋关节置换术,对比分析两组患者的临床疗效。结果:实验组术中出血要明显多于对照组(P<0.05);对照组下床时间、弃拐时间要显著多于实验组(P<0.05);实验组术后X线追踪情况要明显优于对照组(P<0.05)。结论:全髋关节置换术治疗股骨颈骨折的疗效优于空心钉内固定术,患者术后骨折部的预后情况更佳,值得推广。Objective： To compare the clinical curative effect of total hip replacement and cannulated lap screw internal fixation for femoral neck fractures. Method： 50 patients with femoral neck fractures came to our hospital were randomly divided into the control group and the experimental group. The control group was treated with the cannulated lap screw internal fixation while the experimental group was treated with total hip replacement. Compare clinical curative effect of the 2 groups. Results： The operative blood loss of the experimental group was obviously higher than that of the control group （ P 〈 0.05 ）. The time of getting out of the bed and abandoning the crutch of the control group was obviously higher than that of the experimental group （ P 〈 0. 05 ）. The situation of postoperative X - Ray tracking of the experimental group was obviously better than that of the control group （ P 〈 0. 05 ）. Conclusion： Total hip replacement has a better effect than cannulated lap screw internal fixation in the treatment of femoral neck fractures and the patients have a better recovery after the surgery. So it is worth promoting.

关 键 词：内固定术 股骨颈骨折 临床疗效 

分 类 号：R683.42[医药卫生—骨科学]