用两种髋关节置换术对老年股骨颈骨折患者进行治疗的效果对比  

Comparison on Efficacy of Total Hip Arthroplasty and Hemiarthroplasty Treating the Elderly Patients with Femoral Neck Fracture

作　　者：刘振[1] 

机构地区：[1]菏泽市立医院关节外科,山东菏泽274000

出　　处：《当代医药论丛》2016年第13期22-23,共2页

摘　　要：目的:对比用全髋关节置换术和半髋关节置换术对老年股骨颈骨折患者进行治疗的临床效果。方法:对近年来我院收治的90例老年股骨颈骨折患者的临床资料进行回顾性研究。我们将这90例患者随机分为甲组和乙组,每组各有45例患者。我院使用全髋关节置换术对甲组患者进行治疗,使用半髋关节置换术对乙组患者进行治疗。治疗结束后,比较两组患者治疗的效果和并发症的发生率。结果:甲组患者治疗的总有效率为95.6%。乙组患者治疗的总有效率为82.2%。甲组患者治疗的总有效率明显高于乙组患者,差异有统计学意义(P<0.05)。甲组患者并发症的发生率为2.2%。乙组患者并发症的发生率为15.6%。甲组患者并发症的发生率明显低于乙组患者,差异有统计学意义(P<0.05)。结论:与使用半髋关节置换术相比,用全髋关节置换术对老年股骨颈骨折患者进行治疗的效果更好,安全性更高。因此,进行全髋关节置换术可作为临床上对老年股骨颈骨折患者实施治疗的首选方法。Objective： To observe the efficacy of applying total hip arthroplasty and hemiarthroplasty to treat the elderly patients with femoral neck fracture. Methods： 90 elderly patients with femoral neck fracture treated in our hospital from January 2015 to January 2016 were selected as research objects and were divided into two groups, the observation group and the control group, each group for 45 cases. The observation group was given total hip arthroplasty, and the control group was given hemiarthroplasty. The efficacy of two groups was observed. Results： The effective rate of the observation group was 95.6%, and that of the control group was 82.2%. The incidence rate of complications in the observation group was 2.2%, and that of the control group was 15.6%. The difference between two groups had statistical significanc（eP〈0.05）. Conclusion： Compared with hemiarthroplasty, the total hip arthroplasty not only has better efficacy to treat elderly patients with femoral neck fracture, but also has low incidence rate of complications, and can promote the recovery of patients.

关 键 词：老年股骨颈骨折患者 全髋关节置换术 半髋关节置换术 效果 对比 

分 类 号：R687[医药卫生—骨科学]