人工全髋与半髋置换术在老年股骨颈骨折治疗中的应用分析  

Application of artificial total hip and semi-hip replacement in treatment of femoral neck fractures in elderly

作　　者：侯洪涛 HOU Hong-tao(The General Hospital of Qitaihe Coal Group,Qitaihe Heilongjiang 154605)

机构地区：[1]七台河七煤集团总医院骨二科,黑龙江七台河154605

出　　处：《中国伤残医学》2020年第8期1-2,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:对比人工全髋与半髋置换术用于老年股骨颈骨折临床治疗的效果,并总结方法与经验.方法:选择2016年4月-2017年8月收治的60例老年股骨颈骨折患者,遵照随机原则分为对照组、观察组2组,分别给予人工全髋与半髋置换术治疗,对比2组手术疗效.结果:对照组治疗总有效率为86. 7% ,与观察组90. 0%相比较,数据无明显差异(P>0. 05);观察组围术期主要指标更优于对照组(P<0. 05);术后3、6个月时,观察组Harris评分更高于对照组(P<0. 05).结论:半髋置换术治疗老年股骨颈骨折,创伤较小、术后并发症发生率较低,有利于患者髋关节功能的恢复,值得推广.Objective:To compare the effect of artificial total hip and semi-hip replacement in the treatment of femoral neck fractures in the elderly and summarize the methods and experiences.Methods:60 elderly patients with femoral neck fractures admitted from 2016.4 to 2010.8 were divided into two groups,A and B,according to the random principle,and were treated with artificial total hip and semi-h ip replacement respectively,and the results of the two groups were compared.Results:The total effective rate of Group A treatment was 86.7%y compared with 90.0%of Group B,there was no significant difference in the data(P>0.05);The main indicators of the perioperative period in Group B were better than Group A(P<UNK>0.05);After surgery for 3 or 6 months,Group B Harris scored higher than Group A(P<UNK>0.05).Conclusion:Semi-hip replacement was beneficial to the recovery of hip joint function in elderly patients.

关 键 词：老年患者 股骨颈骨折 半髋置换术 人工全髋置换术 HARRIS评分 疗效观察 

分 类 号：R683.42[医药卫生—骨科学]