老年股骨颈骨折合并多种内科疾病时围手术期的治疗观察

Clinical observation of elderly femoral neck fracture merger a variety of physical diseases in operation treatment

目的探讨合并多种内科疾病老年股骨颈骨折患者的人工关节置换手术安全性研究。方法回顾性分析24例老年股骨颈骨折病例,术前均合并多种内科疾病,通过围手术期的治疗,观察术后临床疗效。结果23例治愈出院,围手术期死亡病例1例,占4.17%;术前并存病加重的患者有3例,占12.5%;术后并发新的内科疾病有4例,占16.67%;并发骨科相关并发症1例,占4.17%;治愈患者出院时髋关节Harris评分,均在85分以上。结论通过合理的内科治疗及围手术期的系统综合治疗,对一些具有相对禁忌证的老年股骨颈骨折患者可以用人工关节置换的手术方法治愈。

Objective To explore the artificial joint surgery safety study on elderly femoral neck fracture cases with a variety of physical diseases. Methods Retrospective analysis of 24 cases with a variety of internal diseases, through artifcial joint surgery and reasonable and systematic medical treatment, be observed clinical efficacy. Results 23 cases were cured, but one was dead, accounting for 4. 17% ; 3 cases comorbidities were more serious than before, accounting for 12.5% ; 4 cases had become new complications, accounting for 16. 67% ; 1 case had orthopedic-related complication, accounting for 4. 17% ; all cases with Harris hip score were up 85. Conclusion Reasonable and systematic medical treatment in operative periods, some elderly femoral neck fracture cases with serious physical diseases can be used artificial joint replacement surgery.