摘要
目的:全髋对比半髋关节置换术治疗老年股骨颈骨折的临床研究及对Harris评分的影响。方法:本次研究选取在2017年3月-2018年1月期间本院84例老年股骨头骨折患者作为研究对象进行回顾性分析。分别以不同手术方式进行分组,全髋关节置换术组(试验组):43例患者采用全髋关节置换术方案治疗;半髋关节置换术组(对照组):41例患者采取半髋关节置换术方案治疗。分析组间相关指标变化意义。结果:(1)治疗后,两组患者的Harris评分进行比较,发现全髋关节置换组明显高于半髋关节置换组(P<0.05)。(2)经过对比两组患者手术情况发现,全髋关节置换术组明显优于半髋关节置换术组(P<0.05)。(3)经过治疗后对比两组患者假体髋臼角度发现,全髋关节置换术组明显优于半髋关节置换术组(P<0.05)。(4)经过治疗后对比两组患者术后影像学发现,全髋关节置换术组明显优于半髋关节置换术组(P<0.05)。结论:在身体状况允许下的老年股骨颈骨折患者中,全髋关节置换促进髋部功能恢复,提高术后生活质量。
Objective:To study the clinical effect of hip arthroplasty and hemihip arthroplasty on femoral neck fracture in the elderly and its effect on Harris score.Method:From March 2017 to January 2018,84 elderly patients with femoral head fractures were selected and given a retrospective analysis in our hospital.According to the different surgery methods,they were divided into two groups.The total hip arthroplasty group(experimental group):43 patients received total hip arthroplasty.Hemihip replacement group(control group):41 patients were treated with hemihip replacement.The significance of correlation index changes between groups was analyzed.Result:(1)After the treatment,the Harris scores of the two groups were compared,and it was found that the total hip arthroplasty group was significantly higher than the hemihip arthroplasty group(P<0.05).(2)After comparing the surgical conditions of the two groups,it was found that the total hip arthroplasty group was significantly better than the semi-hip arthroplasty group(P<0.05).(3)After the treatment,the acetabular Angle of prosthesis was compared between the two groups,and it was found that the total hip arthroplasty group was significantly better than the hemihip arthroplasty group(P<0.05).(4)After the treatment,when compared postoperative imaging between the two groups,it showed that the total hip arthroplasty group was significantly better than the hemihip arthroplasty group(P<0.05).Conclusion:In the elderly patients with femoral neck fractures,themedical conditions permitting,total hip arthroplasty can promote the recovery of hip function and improve postoperative quality of life.
作者
陈俊邑
于彬
CHEN Junyi;YU Bin(Dashiqiao Central Hospital,Dashiqiao 115100,China;不详)
出处
《中国医学创新》
CAS
2020年第7期59-63,共5页
Medical Innovation of China
基金
辽宁省科学事业公益基金项目(2015001021)。
作者简介
通信作者:陈俊邑。
