摘要
目的分析对比全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折患者的效果。方法选取62例老年股骨颈骨折患者作为研究对象,采用随机数字表法分为常规组和分析组,每组31例。常规组实施半髋关节置换术治疗,分析组实施全髋关节置换术治疗。对比两组Harris评分、围术期指标、并发症发生情况及治疗效果。结果分析组患者术后3、6、12个月Harris评分分别为(69.34±4.26)、(72.57±4.08)、(74.34±4.27)分,均明显高于常规组的(62.31±4.13)、(66.49±3.24)、(70.45±2.19)分,差异有统计学意义(P<0.05)。两组术中失血量、住院时间及手术时间对比,差异无统计学意义(P>0.05)。分析组患者并发症发生率6.45%明显低于常规组的25.81%,差异有统计学意义(P<0.05)。分析组患者治疗总有效率93.55%明显高于常规组的70.97%,差异有统计学意义(P<0.05)。结论相比半髋关节置换术,采用全髋关节置换术治疗老年股骨颈骨折患者临床疗效显著,可明显改善患者髋关节功能,降低术后并发症发生率,且术中失血量及手术时间、住院时间与半髋关节置换术相比无明显差别,值得参考借鉴。
Objective To analyze and compare the effect of total hip arthroplasty and hemi-hip arthroplasty in the treatment of elderly patients with femoral neck fracture.Methods A total of 62 elderly patients with femoral neck fracture were divided into conventional group and analysis group according to the random numerical table,with 31 cases in each group.The conventional group was treated with hemi-hip arthroplasty,and the analysis group was treated with total hip arthroplasty.The Harris scores,perioperative indexes,complications,and therapeutic effects were compared between the two groups.Results The Harris scores were(69.34±4.26),(72.57±4.08)and(74.34±4.27)points in the analysis group after 3,6 and 12 months,which were significantly higher than those of(62.31±4.13),(66.49±3.24)and(70.45±2.19)points in the conventional group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in intraoperative blood loss,hospital stay and operating time between the two groups(P>0.05).The incidence of complications of 6.45%in the analysis group was significantly lower than that of 25.81%in the conventional group,and the difference was statistically significant(P<0.05).The total effective rate of 93.55%in the analysis group was significantly higher than that of 70.97%in the conventional group,and the difference was statistically significant(P<0.05).Conclusion Compared with hemi-hip arthroplasty,total hip arthroplasty is clinically effective in the treatment of elderly patients with femoral neck fracture,which can significantly improve the function of the hip joint and reduce the incidence of postoperative complications,and there is no significant difference in intraoperative blood loss,operating time and hospital stay compared with hemi-hip arthroplasty,which is worthy of reference.
作者
潘风雨
马壮
徐宁
董溢海
杨柳
孟祥宇
罗毅
PAN Feng-yu;MA Zhuang;XU Ning(Department of Joint Surgery,970 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Yantai 264000,China)
出处
《中国实用医药》
2023年第14期58-60,共3页
China Practical Medicine
关键词
股骨颈骨折
全髋关节置换术
半髋关节置换术
临床疗效
Femoral neck fracture
Total hip arthroplasty
Hemi-hip arthroplasty
Clinical efficacy
作者简介
通讯作者:罗毅。
