西藏地区全髋与半髋关节置换术治疗中老年股骨颈骨折的近期临床效果  

Clinical effect of total hip arthroplasty and hemiarthroplasty in the treatment of femoral neck fractures inmiddle-aged and elderly patients inXizang

作　　者：吉米格桑 Jimi Gesang(people’shospital of Xizang autonomous region,Lhasa 850000,China)

机构地区：[1]西藏自治区人民医院,拉萨850000

出　　处：《西藏科技》2024年第6期47-51,58,共6页Xizang Science And Technology

摘　　要：目的 探讨全髋与半髋关节置换术治疗股骨颈骨折的近期临床效果。方法 本研究采用随机队列研究的方法,共纳入研究样本30例,均为西藏自治区人民医院骨科完成的关节置换手术患者,时间2021年1月-2022年12月,患者按双色球法进行分组,红球代表全髋组,黄球则代表半髋组,为保证数据准确性,将30例患者均分,每组15例,患者依据抽签结果分别入组,两组治疗方法如组名,针对两种治疗方法的近期临床效果进行研究,随访患者手术时间、住院时间、术中出血量、术后康复时间既患者能交替性上下楼梯,能够独立完成下身穿戴,包括穿脱鞋袜,可进行特殊功能性活动(如骑自行车、游泳),术后第7天、术后第1月、术后第2个月、术后第3个月的髋关节Harris评分、SF-36评分,术后并发症发生率等。结果 手术相关指标显示:半髋组手术、住院时间更短,且术中更少出血(P<0.05),但在康复时间上的表现无明显差异(P>0.05);从Harris量表数据来看,全髋组的关节功能表现更为理想,各维度得分均高于半髋组(P<0.05);从SF-36量数据来看,全髋组的生活质量更高,各维度得分均高于半髋组(P<0.05);两组术后均有并发症发生,全髋组1例,半髋组4例,数据对比(6.67%vs26.67%)有显著差异(P<0.05)。结论 全髋关节置换术治疗股骨颈骨折组,患者生活质量更高,并发症更少,但相较于半髋关节置换术,手术时间更长,出血量更多,二者各有优点,其中半髋关节置换术更适合老年患者,故在临床中应根据患者情况酌情选择术式。Objective To investigate the short-term clinical effect of total hip arthroplasty(THA)and hemiarthroplas-ty(HHR)in the treatment of femoral neck fracture.Methods A randomized cohort study was conducted.A total of 30 patients were included in the study sample,all of whom underwent joint replacement in the Department of Ortho-paedics,People's Hospital of Xizang Autonomous Region from January 2021 to December 2022.The patients were divided into two groups by bicolor ball method.The red ball represented the total hip group and the yellow ball repre-sented the hemihip group.In order to ensure the accuracy of the data,30 patients were equally divided,with 15 cases in each group.The patients were enrolled according to the lottery results.The two treatment methods,as group names,were studied for the short-term clinical effectss.The patients were followed up for operation time,hospital stay,intraoperative blood loss,postoperative rehabilitation time,and whether the patients were able to go up and down stairs alternately,and were able to wear their lower body independently,including putting on and taking off shoes and socks,and could perform special functional activities(such as cycling and swimming),as well as the hip Harris score,SF-36 score and postoperative complication rate on the 7th postoperative day,and 1st month,2nd month and 3rd month after surgery.Results Surgery-related indicators showed that the hemihip group had shorter operation time,hospital stay and less intraoperative bleeding(P<0.05),but there was no significant difference in recovery time(P>0.05).According to the data of Harris scale,the joint function performance of the total hip group was more ideal,and the scores of all dimensions were higher than those of the hemihip group(P<0.05).According to the SF-36 data,the quality of life of the total hip group was higher,and the scores of all dimensions were higher than those of the hemihip group(P<0.05).Postoperative complications occurred in both groups,including 1 case in the total hip group and 4 cases in

关 键 词：全髋关节置换术 半髋关节置换术 股骨颈骨折 

分 类 号：R687.3[医药卫生—骨科学]