全髋关节置换术与半髋关节置换术治疗股骨颈骨折的疗效对比研究  

A Comparative Study of the Efficacy of Total Hip Replacement and Semi-Hip Replacement in the Treatment of Femoral Neck Fracture

作　　者：李华[1] LI Hua(Department of Orthopedics,Zhijiang People’s Hospital,Yichang,Hubei 443200,China)

机构地区：[1]湖北省宜昌市枝江市人民医院骨科,湖北宜昌443200

出　　处：《中国医药指南》2025年第9期84-86,共3页Guide of China Medicine

摘　　要：目的分析股骨颈骨折采用全髋关节置换术与半髋关节置换术的作用。方法选取2023年2月至2024年6月湖北省宜昌市枝江市人民医院96例股骨颈骨折患者,根据患者病情判断并考虑患者及家属意愿分两组,各48例,对照组采用半髋关节置换术,研究组采用全髋关节置换术。统计两组手术及恢复指标、髋关节功能、并发症发生率,术前及术后6个月对比生活质量。结果研究组手术时间、术中出血量及术后引流量较高(P<0.05),两组住院时间对比无统计学意义(P>0.05),研究组髋关节功能优良率较高(P<0.05),研究组并发症发生率较低(P<0.05),术后6个月,研究组生活质量评分较高(P<0.05)。结论全髋关节置换术治疗股骨颈骨折患者具有显著优势,虽术中对患者机体损伤较重,但术后患者髋关节功能恢复较好,并发症风险较低,能够促进患者生活质量恢复。Objective To analyze the efficacy of total hip replacement and semi-hip replacement in the treatment of femoral neck fracture.Methods Ninety-six patients with femoral neck fracture in Zhijiang People’s Hospital of Yichang,Hubei Province from February 2023 to June 2024 were selected and divided into two groups according to the patients’condition and the wishes of the patients and their families,with 48 cases in each group.The control group underwent semi-hip replacement and the study group underwent total hip replacement.The indexes of operation and recovery,hip function,complication rate,quality of life before and 6 months after operation were compared between the two groups.Results The operation time,intraoperative blood loss and postoperative drainage volume in the study group were higher(P<0.05),and the comparison of hospital stay between the two groups was not statistically significant(P>0.05).The rate of excellent and good hip function in the study group was higher(P<0.05),and the incidence of complications in the study group was lower(P<0.05).The quality of life score of the study group was higher(P<0.05).Conclusions Total hip replacement has significant advantages in the treatment of patients with femoral neck fracture.Although the patient’s body is severely damaged during the operation,the patient’s hip function is better after the operation,and the risk of complications is lower,which can promote the recovery of patients’quality of life.

关 键 词：全髋关节置换术 股骨颈骨折 并发症 髋关节功能 生活质量 

分 类 号：R683.42[医药卫生—骨科学]