比较外侧小切口髋关节置换术与后路小切口髋关节置换术治疗老年创伤性股骨颈骨折临床疗效  

To compare the clinical effect of lateral small incision hip arthroplasty and posterior small incision hip arthroplasty in the treatment of traumatic femoral neck fracture in the elderly

作　　者：喻畅 Yu Chang(The People's Hospital of Yunmeng County,Hubei Xiaogan 432500)

机构地区：[1]云梦县人民医院,湖北孝感432500

出　　处：《中国社区医师》2020年第11期84-84,86,共2页Chinese Community Doctors

摘　　要：目的:比较外侧小切口髋关节置换术与后路小切口髋关节置换术治疗老年创伤性股骨颈骨折的临床疗效。方法:2018年2月-2019年2月收治老年创伤性股骨颈骨折患者48例,按不同治疗方法分为两组,各24例。对照组使用外侧小切口髋关节置换术治疗;治疗组使用后路小切口髋关节置换术治疗。比较两组手术时间、术中出血量及术后疼痛程度。结果:治疗组术中出血量、术后疼痛评分均优于对照组,差异有统计学意义(P<0.05)。两组手术时间比较,差异无统计学意义(P>0.05)。结论:外侧小切口髋关节置换术与后路小切口髋关节置换术治疗老年创伤性股骨颈骨折疗效相当,但后路小切口髋关节置换术的手术切口小,也使得手术出血量少、术后疼痛程度低、恢复速度快。Objective:To compare the clinical effect of lateral small incision hip arthroplasty and posterior small incision hip arthroplasty in the treatment of traumatic femoral neck fracture in the elderly.Methods:From February 2018 to February 2019,48 elderly patients with traumatic femoral neck fracture were selected,according to different treatment methods,they were divided into two groups of 24 cases in each.The control group was treated with lateral small incision hip arthroplasty;the treatment group was treated with posterior small incision hip arthroplasty.We compared the operation time,intraoperative hemorrhage and postoperative pain between the two groups.Results:In the treatment group,the amount of intraoperative bleeding and postoperative pain scores were better than those in the control group,the difference was statistically significant(P<0.05).There was no significant difference in operation time between the two groups(P>0.05).Conclusion:The clinical effect of lateral small incision hip arthroplasty and posterior small incision hip arthroplasty in the treatment of traumatic femoral neck fracture in the elderly is comparable,but the incision of posterior small incision hip arthroplasty is small,the amount of bleeding is small,the degree of postoperative pain is low,and the recovery speed is fast.

关 键 词：外侧小切口髋关节置换术 后路小切口髋关节置换术 老年创伤性股骨颈骨折 临床疗效 

分 类 号：R687.4[医药卫生—骨科学]