全髋关节和双极人工股骨头置换术治疗老年股骨颈骨折的对比研究  

Comparative Study of Total Hip Arthroplasty and Bipolar Artificial Femoral Head Replacement for the Treatment of Elderly Femoral Neck Fractures

作　　者：郑春山[1] 王景林 张玉明 ZHENG Chunshan;WANG Jinglin;ZHANG Yuming(Department of Orthopedics,Shouguang People's Hospital,Shouguang,Shandong Province,262700 China;Department of Critical Care Medicine,Shouguang People's Hospital,Shouguang,Shandong Province,262700 China;Department of Orthopedics,Qingzhou People's Hospital,Qingzhou,Shandong Province,262500 China)

机构地区：[1]山东省寿光市人民医院骨科,山东寿光262700 [2]山东省寿光市人民医院重症医学科,山东寿光262700 [3]山东省青州市人民医院骨科,山东青州262500

出　　处：《世界复合医学》2024年第3期46-49,共4页World Journal of Complex Medicine

摘　　要：目的比较全髋关节置换术和双极人工股骨头置换术治疗老年股骨颈骨折的效果。方法单纯随机选取2021年1月—2023年10月山东省寿光市人民医院收治的90例老年股骨颈骨折患者为研究对象,盲选抽签法分为两组,对照组(45例)施以双极人工股骨头置换术,研究组(45例)施以全髋关节置换术,对比两组治疗效果。结果研究组的术中出血量、术后引流量多于对照组,手术时长、住院时间均长于对照组,差异有统计学意义(P均<0.05)。术后1年,研究组的髋关节功能评分均高于对照组,差异有统计学意义(P均<0.05)。研究组的并发症总发生率(6.67%)与对照组(8.89%)相近,差异无统计学意义(χ^(2)=0.155,P=0.694)。结论全髋关节置换术和双极人工股骨头置换术应用于老年股骨颈骨折治疗中均有较高安全性,双极人工股骨头置换术可缩短术后恢复时间,但全髋关节置换术后功能恢复更好。Objective To compare the effects of total hip replacement and bipolar artificial femoral head replacement in the treatment of elderly femoral neck fractures.Methods A total of 90 elderly patients with femoral neck fracture treated in Shouguang People's Hospital of Shandong Province from January 2021 to October 2023 were simply and randomly selected as the study subjects,the patients were divided into two groups by blind selection and drawing method.The control group(45 cases)underwent bipolar artificial femoral head replacement and the study group(45 cases)underwent total hip replacement.Results The intraoperative blood loss and postoperative drainage volume were more in the study group than in the control group,and the length of surgery and hospitalization were shorter than in the control group,and the differences were statistically significant(all P<0.05).One year after surgery,the hip function scores of the study group were higher than those of the control group,and the difference was statistically significant(all P<0.05).The total complication rate of the study group(6.67%)was similar to that of the control group(8.89%),and the difference was not statistically significant(χ^(2)=0.155,P=0.694).Conclusion Total hip arthroplasty and bipolar prosthetic femoral head replacement have high safety in the treatment of elderly femoral neck fractures respectively.Bipolar prosthetic femoral head replacement can shorten the postoperative recovery time,but total hip arthroplasty has better functional recovery.

关 键 词：全髋关节置换术 老年股骨颈骨折 双极人工股骨头置换术 

分 类 号：R687[医药卫生—骨科学]