全髋关节置换与内固定治疗老年移位型股骨颈骨折的临床效果比较  

Comparison of clinical effects between total hip arthroplasty and internal fixation in the treatment of displaced femoral neck fracture in the elderly

作　　者：陈群 CHEN Qun(Department of Orthopaedic Surgery,Affiliated Hospital of Yangzhou University,Jiangsu Province,Yangzhou 225000,China)

机构地区：[1]扬州大学附属医院骨外科

出　　处：《中国当代医药》2019年第34期71-74,共4页China Modern Medicine

摘　　要：目的比较全髋关节置换与内固定治疗老年移位型股骨颈骨折的临床效果。方法选取2015年5月~2018年4月我院收治的68例老年移位型股骨颈骨折患者作为研究对象,按照随机数字表法将其分为对比组(n=34)与试验组(n=34)。对比组患者采用内固定治疗,试验组患者采用全髋关节置换术治疗。比较两组患者的术中出血量、手术时间、术后下床活动时间、住院时间,手术前后患者的髋关节Harris、日常生活能力(ADL)量表、卡氏功能状态(KPS)评分,以及术后并发症发生情况。结果试验组患者的术中出血量多于对比组,手术时间长于对比组,试验组患者术后下床活动时间短于对比组,差异均有统计学意义(P<0.05);两组患者的住院时间比较,差异无统计学意义(P>0.05)。术前,两组患者的髋关节Harris、ADL量表及KPS评分比较,差异均无统计学意义(P>0.05);术后12个月,两组患者的Harris评分高于本组术前,且试验组患者的Harris评分高于对比组,差异有统计学意义(P<0.05);术后,两组患者的ADL量表、KPS评分均高于本组术前,差异有统计学意义(P<0.05);试验组患者术后的ADL量表及KPS评分均高于对比组,差异有统计学意义(P<0.05)。试验组患者的并发症总发生率为8.82%,低于对比组的20.59%,差异有统计学意义(P<0.05)。结论老年移位型股骨颈骨折患者应用全髋关节置换术病情改善效果及术后功能恢复效果优于内固定治疗。Objective To compare the clinical effects of total hip arthroplasty and internal fixation in the treatment of displaced fe moral neck fractures in the elderly.Methods A total of 68 elderly patients with displaced femoral neck fracture admitted to our hospital from May 2015 to April 2018 were selected as the research objects and divided into the contrast group(n=34)and the test group(n=34)according to the random number table method.Patients in the control group were treated with internal fixation,while patients in the test group were treated with total hip arthroplasty.The intraoperative blood loss,operation time,postoperative ambulation time,hospitalization time,Harris hip joint,activity of daily living(ADL)scale,Karnofsky functional state(KPS)score and postoperative complications of the two groups were compared.Results The intraoperative blood loss of patients in the test group was more than that in the contrast group,the operation time was longer than that in the test group,and the ambulation time of patients in the test group after operation was shorter than that in the contrast group,the differences were statistically significant(P<0.05).There were no significant difference in hospitalization time between the two groups(P>0.05).Before operation,there were no significant difference in Harris hip joint,ADL scale and KPS score between the two groups(P>0.05).Twelve months after the operation,Harris scores of patients in the two groups were higher than those before the operation,and Harris scores of the patients in the test group was higher than that in the contract group,the differences were statistically significant(P<0.05).After the operation,the ADL scale and KPS scores of the two groups of patients were higher than those before the operation,and the differences were statistically significant(P<0.05).The ADL scale and KPS scores of the patients in the test group were higher than those in the contract group,with statistically significant difference(P<0.05).The total incidence rate of complications in the group

关 键 词：全髋关节置换 内固定治疗 老年移位型股骨颈骨折 临床疗效对比分析 

分 类 号：R687.42[医药卫生—骨科学]