全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的临床疗效对比评价  

Comparison of the clinical efficacy of total hip replacement and artificial femoral head replacement in the treatment of femoral neck fracture in the elderly

作　　者：周淑平[1] ZHOU Shu-ping(Department of joint sports,Nanhua Hospital Affiliated to Nanhua University,Hengyang 421002,China)

机构地区：[1]南华大学附属南华医院关节运动科,湖南衡阳421002

出　　处：《吉林医学》2018年第9期1617-1619,共3页Jilin Medical Journal

摘　　要：目的:对老年股骨颈骨折患者应用全髋关节置换术与人工股骨头置换术的治疗效果进行对比。方法:选取82例老年股骨颈骨折患者进行分析,将其随机分组。观察组实施全髋关节置换术治疗,对照组实施人工股骨头置换术治疗,每组41例,对比两组的治疗效果。结果:观察组的各项生活质量评分均高于对照组,对照组与观察组的手术时间、术中出血量、Harris评分对比,差异有显著统计学意义(P<0.05)。观察组和对照组的治疗优良率分别为97.56%、78.05%,差异有统计学意义(P<0.05)。结论:与人工股骨头置换术相比,对老年股骨颈骨折患者应用全髋关节置换术治疗的效果更显著,有利于患者后期生活质量的改善,值得进一步推广。Objective To compare the effect of total hip replacement and artificial femoral head replacement for the elderly patients with femoral neck fracture. Method 82 elderly patients with femoral neck fracture were selected and randomly divided into the observation group and the total hip replacement group. The control group was treated with artificial femoral head replacement,with 41 cases in each group. Comparison of two groups of treatment effect. Results The quality of life scores in the observation group were all higher than those in the control group. There was a significant difference between the control group and the observation group in the operative time,intraoperative blood loss and Harris score,and the difference was statistically significant（ P 0. 05）. The good rate of treatment in the observation group and the control group was 97. 56% and 78. 05% respectively,and the difference was statistically significant（ P 0. 05）. Conclusion Compared with artificial femoral head replacement,the effect of total hip arthroplasty for elderly patients with femoral neck fracture is more significant,which is conducive to the improvement of quality of life in later stage,and the scheme is worthy of further promotion.

关 键 词：人工股骨头置换术 老年股骨颈骨折 全髋关节置换术 生活质量 

分 类 号：R687[医药卫生—骨科学]