高龄髋部骨折病人的手术治疗

SURGERY ON ELDERLY PATIENTS WITH HIP FRACTURE

目的探讨高龄髋部骨折病人的手术治疗经验。方法对2001年8月～2006年8月我院手术治疗的49例年龄≥80岁髋部骨折病人的资料进行回顾性分析。结果本组病人平均85.2岁,伤前有并存病者38例(78%),伤后至手术的时间平均为6d,术后有并发症者18例(37%),平均住院21d。42例得到随访,功能评定优良率为79%。结论高龄病人术前并存病多和术后并发症的发生率高,认真的围手术期准备和尽早手术治疗是提高病人生活质量的关键。

Objective To explore the experience of operation for hip fracture in the elderly. Methods Clinical data of 49 patients ages ≥ 80 years old with hip fracture were retrospectively analyzed. Results The average age of the patients was 85.2 years old. Those with eomorhidity was 38 patients （78%） before fracture and the average time between fracture and surgery was six days. Postoperative complications occurred in 18 patients （37 %）. The mean hospitalization was 21 days. Forty-two patients were followed, functional assessment with good being 79%. Conclusion Most senior patients likely to have more preoperative eomorbidities and higher postoperative complications, earnest perioperative preparations and surgery as early as possible are the key to improve their quality of life.