对比人工全髋关节置换术与双动股骨头置换术治疗老年移位股骨颈骨折的临床疗效  

Comparison of total hip arthroplasty and double-action femoral head replacement in the treatment of senile displaced femoral neck fracture

作　　者：张志信[1] 陈为民 钱金荣[1] 郭阳[1] Zhang Zhixin;Chen Weimin;Qian Jinrong;Guo Yang(Department of Orthopedics,Second People＇s Hospital of Taizhou City,Taizhou,Jiangsu,225500,Chin)

机构地区：[1]泰州市第二人民医院骨科,江苏泰州225500

出　　处：《当代医学》2018年第16期21-23,共3页Contemporary Medicine

摘　　要：目的对比人工全髋关节置换术和双动股骨头置换术治疗老年移位股骨颈骨折的临床效果。方法以本院骨科2013年1月~2017年1月接诊的老年移位股骨颈骨折患者58例为研究对象,根据手术方式分为人工全髋关节置换组与双动股骨头置换组,各29例,对比两种手术方式的临床治疗效果、手术时间、术中出血量、术后引流量、Harris评分及术后并发症发生率。结果人工全髋关节置换组临床优良率达到86.20%(25/29)优于双动股骨头置换组临床优良率68.96%(20/29)(P<0.05);人工全髋关节置换组手术时间(165.8±24.3)min,术中出血量(364.8±41.7)ml,术后引流量(389.5±39.6)ml,双动股骨头置换组手术时间(82.2±21.9)min,术中出血量(156.8±37.8)ml,术后引流量(188.6±36.3)ml,两组患者比较,差异具有统计学意义(P<0.05);人工全髋关节置换组术后并发症发生率为6.90%,低于双动股骨头置换组并发症发生率27.59%(P<0.05);人工全髋关节置换组术后平均Harris评分为(93.8±1.8)分,高于双动股骨头置换组术后平均Harris评分为(73.2±1.6)分(P<0.05)。结论人工全髋关节置换术与双动股骨头置换术治疗老年移位股骨颈骨折各具优势,临床治疗中需结合患者病症特点合理选择,以促进患者早日恢复,提升其生活质量。Objective To compare the clinical effects of total hip arthroplasty and double-action femoral head replacement in the treatment of elderly patients with displaced femoral neck fractures. Methods The elderly patients with orthopedic shift from January 2013 to January 2017 in our hospital Fifty-eight patients with femoral neck fracture were divided into two groups： artificial total hip arthroplasty group and double-action femoral head replacement group, with 29 cases in each group. The clinical effects, operative time, intraoperative blood loss, postoperative drainage, Harris score and the incidence of postoperative complications. Results The total effective rate of the total hip arthroplasty group was 86.20%（25/29）,which was better than that of the double-action femoral head replacement group（68.96%, 20/29）（P〈0.05）. The time of operation in total hip arthroplasty group was（165.8±24.3） min, blood loss（364.8±41.7） ml and postoperative drainage volume（389.5±39.6） ml, The time of operation（82.2±21.9） min, blood loss in operation（156.8±37.8） ml and postoperative drainage volume（188.6±36.3） ml were significantly different between the two groups（P〈0.05）. Total hip arthroplasty after surgery The incidence of morbidity was 6.90%, which was lower than that of double action femoral head replacement group（27.59%, P〈0.05）. The average postoperative Harris score of artificial total hip arthroplasty group was（93.8±1.8） The mean Harris score in the group of bone replacement was（73.2 ±1.6） points（P〈0.05）. Conclusion The total hip arthroplasty and double-action femoral head replacement have the advantages in the treatment of elderly patients with displaced femoral neck fractures. In clinical treatment Patients need to be combined with the characteristics of a reasonable choice to promote early recovery of patients to improve their quality of life.

关 键 词：老年股骨颈骨折 置换术 人工全髋关节置换 双动股骨头置换 

分 类 号：R687[医药卫生—骨科学]