全髋关节置换术与人工股骨头置换术治疗股骨颈骨折的效果对比分析  

Comparative analysis of the effect of total hip arthroplasty and hemiarthroplasty for femoral neck fracture

作　　者：马晓程[1] 杨彬[1] 彭明[1] 

机构地区：[1]山东省青岛市市立医院骨科,266011

出　　处：《中国实用医药》2014年第3期21-22,共2页China Practical Medicine

摘　　要：目的评价分析股骨颈骨折治疗术的临床效果,为保证临床疗效提供理论依据。方法将本院股骨颈骨折需要实施髋关节置换患者60例,按照手术方法分为两组,分别于术后2个月、4个月根据Harris评分标准比较分析两组患者的临床疗效,并比较两组患者的手术时间,术中出血量,下床活动时间及术后并发症,以期评价两组手术的优越性。结果 THA组在手术时间、下床活动时间及术后2个月和4个月的Harrisde得分较FHA组差异有统计学意义(P<0.05);THA组术中出血量较FHA组差异有统计学意义(P<0.001);两组患者优、良得分比较差异无统计学意义(χ2=0.267,P=0.398 VSχ2=2.222,P=0.116),但THA组临床总疗效较FHA组有显著性优越性(χ2=4.356,P=0.036);两组患者在感染和下肢静脉血栓指标差异无统计学意义(χ2=1.013,P=0.306 VSχ2=2.069,P=0.246);但FHA组在术后脱位较THA组严重,差异有统计学意义(χ2=4.356,P=0.049)。结论全髋关节置换术在临床总疗效、骨功能恢复及其术后并发症方面均较人工股骨头置换术有显著优越性,值得临床推广。Objective To evaluate the clinical effect of femoral neck fracture surgery and try to explore hip arthroplasty and hemiarthroplasty excellent,providing a theoretical basis for the assurance of clinical efficacy. Methods In the future I need to implement hospital femoral neck fracture hip replacement in 60 patients,divided into two groups according to surgical. Methods where total hip arthroplasty group（THA group）30 cases,hemiarthroplasty group（FHA）group of 30 cases.After 2 months,the comparative analysis of the clinical efficacy of the two groups of patients were 4 months according to Harris score,and two groups were compared operative time,blood loss, and postoperative complications ambulation time to evaluate two operative superiority. Results THA group in operative time, time to get out of bed and after 2 months and 4 months Harrisde score FHA has significant difference （P〈0.05） compared with group;THA group than the FHA group blood loss was significant difference（P〈0.001）;groups were excellent,good score showed no significant difference （χ2=0.267, P=0.398VSχ2=2.222, P=0.116）, but the overall clinical efficacy FHA THA group were significantly higher than group superiority （χ2=4.356, P=0.036）;groups of patients there was no significant difference in infection and deep vein thrombosis index （χ2=1.013, P=0.306VSχ2=2.069, P=0.246）;but FHA group in the postoperative severe dislocation significant difference compared with the THA group （χ2=4.356, P=0.049）. Conclusion Total hip arthroplasty in the general clinical efficacy,and postoperative functional recovery of bone complications compared hemiarthroplasty significant advantages, worthy of promotion.

关 键 词：全髋关节置换术 人工股骨头置换术 临床疗效 并发症 

分 类 号：R687.4[医药卫生—骨科学]