老年股骨颈骨折患者行全髋与半髋关节置换术的疗效对比  

Effect of total hip replacement versus hemi-hip arthroplasty in elderly patients with femoral neck fracture

作　　者：鞠德泉[1] 王宏伟[2] 王振宇[1] 王海峰 JU Dequan;WANG Hongwei;WANG Zhenyu;WANG Haifeng(Pain, Third People′s,Hospital of Taixing, Taixing, Jiangsu, 225400;Department of Anesthesiology Pain,Hospital of Taixing, Taixing, Jiangsu, 225400;Third People′s,Hospital of Taixing, Taixing, Jiangsu, 225400)

机构地区：[1]江苏省泰兴市第三人民医院骨科,江苏泰兴225400 [2]江苏省泰兴市第三人民医院麻醉科/疼痛科,江苏泰兴225400

出　　处：《实用临床医药杂志》2018年第23期142-143,153,共3页Journal of Clinical Medicine in Practice

摘　　要：目的对比老年股骨颈骨折行全髋与半髋关节置换术治疗疗效。方法将本院骨科收治的50例老年股骨颈骨折患者随机分为实验组与对照组,各25例。实验组患者采用半髋关节置换术进行治疗,对照组患者采用全髋关节置换术进行治疗。分析2组患者手术时间、术中失血量、引流量、住院时间以及并发症发生率。结果实验组患者手术时间、术中失血量、引流量显著优于对照组(P <0. 05); 2组并发症发生率、住院时间差异无统计学意义(P> 0. 05)。结论在临床实践手术治疗中,应根据患者实际情况合理选择正确的手术方案。Objective To compare effect of total hip arthroplasty and hemi-hip arthroplasty for senile patients with femoral neck fracture.Methods A total of50patients with senile femoral neck fracture were randomly divided into experimental group and control group,with25cases per group.The patients in the experimental group were treated with hemi-hip replacement,while those in the control group were treated with total hip replacement.The operative time,blood loss,drainage volume,hospital stayand complications of two groups were statistically analyzed.Results The experimental group had better outcomes in operation time,the amount of blood loss during the operation and the drainage volume than the control group(P<0.05).There was no significant difference in hospital stay and The incidence of complications between the two groups(P>0.05).Conclusion In the clinical practice of surgical treatment,correct operation plan according to the actual situation of patients should be chosen.

关 键 词：全髋置换术 半髋关节置换术 老年股骨颈骨折 疗效 

分 类 号：R683[医药卫生—骨科学]