全髋关节置换术治疗老年股骨颈骨折  

Clinical effects of total hip arthroplasty in treating senile femoral neck fracture

作　　者：许小志[1] 谢学文[2] XU Xiaozhi XIE Xuewen(Sanshui Hospital of Foshan Traditional Chinese Medicine Hospital, Foshan 528100, China Foshan Traditional Chinese Medicine Hospital)

机构地区：[1]佛山市中医院三水医院,广东佛山528100 [2]佛山市中医院

出　　处：《包头医学院学报》2016年第10期17-18,共2页Journal of Baotou Medical College

摘　　要：目的:探讨全髋关节置换术(total hip replacement,THR)与人工股骨头置换术(artificial femoral head replacement,AFHR)治疗老年股骨颈骨折(fracture of neck of femur,FNF)的临床效果。方法:选择2014年1月至2015年12月收治的老年股骨颈骨折患者372例,其中行THR的患者181例作为THR组,行FHR手术治疗的患者191例作为FHR组,比较两组患者的治疗效果及手术情况。结果:治疗后,THR组优良率高于AFHR组(P<0.05);与AFHR组相比,THR组手术时间长,术中出血量较大,但住院时间短(P<0.05)。结论:全髋关节置换术治疗老年股骨颈骨折具有较好的临床效果,术后优良率高,但手术时间长,术中出血量较大,应根据患者具体情况选择。Objective： To investigate the difference of clinical effects in total hip replacement（ THR） and artificial femoral head replacement（ AFHR） for senile femoral neck fracture（ FNF）. Methods： 372 cases of senile femoral neck fracture from January 2014 to December 2015 were selected,among which a total of 181 cases underwent THR,as THR group,and 191 cases underwent FHR,as FHR group. The effect of treatment and surgery of the two groups was compared. Results： After treatment,the total ratio of excellent and good in THR group was higher than that of AFHR group（ P〈0. 05）. Compared with AFHR group,the operative time was longer and the amount of blood loss was higher in THR group,but hospital stay was shorter as well,the differences between the two groups statistically significant（ P〈0. 05）. Conclusion： THR in treating elderly patients with femoral neck fracture achieves a better clinical effect and improves postoperative good rate of Harris score,but it has long operative time and a large amount of blood loss,so appropriate surgery should be selected to apply to specific situations.

关 键 词：全髋关节置换术 人工股骨头置换术 老年股骨颈骨折 

分 类 号：R687.4[医药卫生—骨科学]