高龄股骨颈骨折伴骨质疏松应用生物型全髋与半髋关节置换的临床效果观察  

Clinical effect of biological total hip and hemiarthroplasty in elderly patients with femoral neck fracture and osteoporosis

作　　者：李江文 宣懂 李志丹[1] 宋伟宏[1] LI Jiang-wen;XU AN Dong;LI Zhi-dan(Department of Orthopedics and Joint,The Central peoples Hospital of Zhanjiang,Guangdong 524045,China)

机构地区：[1]湛江中心人民医院,广东湛江524045

出　　处：《中国伤残医学》2019年第22期3-5,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨生物型全髋与半髋关节置换在高龄股骨颈骨折伴骨质疏松患者的临床应用效果.方法:选取我院2016年6月-2018年6月间收治的166例高龄股骨颈骨折伴骨质疏松患者.根据不同手术方式分为对照组(56例)和观察组(110例).对照组采用生物型全髋关节置换术治疗,观察组采用生物型半髋关节置换术治疗.比较2组术中出血量、手术时间、48小时引流量、住院时间、完全负重时间、骨密度、Harris评分、VAS评分、术后并发症.结果:观察组术中出血量、48小时引流量、手术时间均少于对照组,治疗后Harris评分高于对照组,VAS评分低于对照组(P<0.05);2组患者术后完全负重时间、骨密度、住院时间及并发症情况比较差异无统计学意义(P>0.05).结论:半髋关节置换及全髋关节置换术均是治疗老年性股骨颈骨折伴骨质疏松的有效手段,相较于全髋关节置换,半髋关节置换在临床手术指标、术后疼痛及髋关节功能恢复方面的疗效更优.Objective:To investigate the clinical effect of total hip and hemiarthroplasty in elderly patients with femoral neck fracture and osteoporosis.Methods:166 elderly patients with femoral neck fracture and osteoporosis were selected from June 2016 to June 2018 in our hospital.According to different surgical methods,the patients were divided into control group(56 cases)and observation group(110 cases).The control group was treated with biological total hip arthroplasty,while the observation group was treated with biological hemiarthroplasty.The intraoperative bleeding volume,operation time,48-hour drainage,hospital stay,total weight-bearing time,bone mineral density,Harris score,VAS score and postoperative complications were compared between the two groups.Results:The bleeding volume,drainage volume and operation time in the observation group were less than those in the control group.After treatment,Harris score was higher and VAS score was lower than those in the control group(P<0.05).There was no significant difference in the total weight-bearing time,bone mineral density,hospitalization time and complications between the two groups(P>0.05).Conclusion:Hemiarthroplasty and total hip arthroplasty were both effective methods for the treatment of senile femoral neck fracture with osteoporosis.Compared with total hip arthroplasty,hemiarthroplasty had a better effect on clinical operative indexes,postoperative pain and hip function recovery.

关 键 词：高龄 股骨颈骨折 骨质疏松 生物型 全髋关节置换 半髋关节置换 

分 类 号：R683.41[医药卫生—骨科学]