7O岁及以上患者股骨颈骨折手术及非手术治疗方法的疗效分析  

Comparison of effects of surgical versus non-surgical treatment for femoral neck fractures in patients aged 70 years and over

作　　者：周杨[1] 张玉良[1] 陆建强[1] 

机构地区：[1]武警浙江省总队医院骨一科,嘉兴314000

出　　处：《中华老年医学杂志》2016年第6期626-628,共3页Chinese Journal of Geriatrics

摘　　要：目的 探讨高龄股骨颈骨折患者手术及非手术治疗方法的效果评价，指导治疗方式的选择。 方法 回顾性分析自2006年2月至2011年8月我科收治的年龄70岁及以上股骨颈骨折患者42例不同治疗方法的疗效及并发症的发生情况。 结果 42例患者中13例行人工髋关节置换术，18例行空心拉力螺钉固定术，11例行胫骨结节骨牵引治疗。手术治疗组患者无死亡，保守治疗组中经过随访，有4例患者在半年以内死亡。结论 对高龄股骨颈患者，只要经过正确的围术期处理，该类患者完全能安全度过围术期，手术治疗能取得良好的治疗效果，缩短卧床时间，改善生活质量及降低病死率。Objective To compare the effects of surgical versus non-surgical treatment for femoral neck fractures in elderly patients, in order to provide guidance on treatment options. Methods The clinical effects and complications of different approaches from 42 patients with femoral neck fractures who had received treatment at our department from February 2006 to August 2011 were retrospectively analyzed. Results Of the 42 cases, 13 cases were treated with artificial hip replacement, 18 cases with hollow lag screw fixation, and 11 cases with tibial traction. No death occurred in patients treated with surgery, and 4 patients who had received non-surgical treatment died within 6 months of the followed-up. Conclusions Very elderly patients with femoral neck fractures generally perform well under appropriate perioperative care. Surgical treatment can produce good therapeutic effects, shorten the time for bed rest, improve the quality of life and reduce the mortality rate.

关 键 词：股骨颈骨折 治疗结果 

分 类 号：R687.3[医药卫生—骨科学]