内固定与人工股骨头置换治疗高龄无移位型股骨颈骨折临床对比观察  

The Clinical Comparative Observation of the Advanced situ Femoral Neck Fractures Treated byInternal Fixation and Artificial Thigh Bone Replacement

作　　者：叶恒 

机构地区：[1]潮州市人民医院骨一科,广东潮州521000

出　　处：《中国伤残医学》2017年第13期6-8,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：对比内固定与人工股骨头置换治疗高龄无移位型股骨颈骨折的临床效果.方法：选取在我院进行治疗的高龄无移位型股骨颈骨折患者74例,按治疗方式不同分为2组,各37例.对照组实施闭合复位空心钉内固定治疗,观察组采用人工股骨头置换治疗,比较2组患者临床指标及术后不同时间功能评分.结果：对照组输血人数较观察组明显降低,差异显著（P＜0.05）;对照组再手术率、术后死亡率及行走能力（WAI）评分与观察组比较,差异不显著（P〉0.05）;观察组术后3、6个月WAI评分及视觉疼痛模拟评分法（VAS）评分较对照组均明显降低,差异显著（P＜0.05）;末期随访时,观察组VAS评分较对照组明显降低,差异显著（P＜0.05）;观察组末期生活质量（EQ-5D）评分较对照组明显提高,差异显著（P＜0.05）.结论：人工股骨头置换可有效改善高龄无移位型股骨颈骨折患者术后疼痛程度,提高患者生活质量,而内固定治疗创伤小,可缩短手术时间及住院时间,减少住院费用,临床应根据患者实际情况选择合适的治疗方式.Objective： To compare the clinical effect of the advanced situ femoral neck fractures treated by internal fixation and artificial thigh bone replacement.Methods： To selected 74 cases of patients with the advanced situ femoral neck fractures at our hospital, to divided into two groups as per the different treatment methods, each 37 cases.The control group was implemented the closed reduction and internal fixation for treatment, the treatment group was applied the artificial thigh bone replacement for treatment, to compared the clinical index and function score of the different time after operation.Results： The number transfusion person of the control group was significantly reduced to compared with the treatment group, there was statistical significance （P〈0.05）.To compared the score of re-operation rate, postoperative mortality and WAI of the control group with that of the treatment group, there was no statistical significance （P〉0.05）.The WAI score and VAS score was significantly reduced of the treatment group after 3 months and 6 months of operation to compared with the control group, there was statistical significance （P〈0.05）.At the end of follow-up, the VAS score of the treatment group was significantly reduced to compared with the control group, there was statistical significance （P〈0.05）.The EQ-5D score of the treatment group was significantly improved to compared with the control group, there was statistical significance （P〈0.05）.Conclusion： The able to effective improve the degree of postoperative pain of the advanced situ femoral neck fractures treated by the artificial thigh bone replacement., and to improve the patients＇ life quality, but the internal fixation has less trauma, and that able to shorten the operation time and hospital stays., and to reduce the hospitalization expenses, that need to choose the appropriate treatment method as per the physical truth of patients in clinical.

关 键 词：内固定 人工股骨头置换 高龄 无移位型股骨颈骨折 

分 类 号：R687.4[医药卫生—骨科学]