摘要
目的：比较人工股骨头置换与骨折内固定治疗高龄股骨转子间骨折的临床疗效。方法：筛选1997年6月至2008年6月间收治的60例高龄新鲜不稳定性股骨转子间骨折患者分为A、B两组。A组为行人工股骨头置换者,B组为行骨折内固定者。A组30例,平均年龄83.6岁;B组30例,平均年龄81.7岁。随访时间8个月-9年（平均2.3年）。结果：两种术式在住院时间和术后引流量的差异无统计学意义（P〉0.05）;而在手术时间、术中出血量、下地开始行走时间、术后早期并发症、术后内科合并症和髋关节功能恢复、术后1年内死亡率等方面,两组比较差异均有统计学意义（P〈0.05）。结论：人工股骨头置换术可以作为治疗高龄股骨转子间骨折的一种选择,术后能早期离床负重活动、较快恢复伤前活动能力、降低术后短期并发症和内科合并症的发生率、减低术后一年内死亡率。
Objective：To comparison the curative effect between prosthetic replacement and internal fixations for treatment of femoral intertrochanteric fracture in the elderly.Methods：From June 1997 to June 2008,60 patients with fresh unstable femoral intertrochanteric fracture were divided into 2 groups（A and B）.The patients in group A（n=30,average age 83.6 years） were performed prosthetic replacement.The patients in group B（n=30,average age 81.7 years） were performed internal fixation.The follow-up period ranged from 8 months to 9 years （mean 2.3
years）. Results： The differences of the time of hospitalization, drainage between the two groups were of no statistical significance （P〉0.05）. The differences of the operative time, blood loss, ambulation time, early complication, medical diseases and restored function after operation, death rate in lyear after operation between the two groups were of statistical significance （P〈0.05）. Conclusion： Prosthetic replacement is one choose in the treatment of fresh unstable femoral intertrochanteric fractures in the elderiy, it can provide early full weight-bearing and rapid rehabilitation, reduce the incidence of post-operative complications and medical diseases, reduce the death rate in 1 year after operation.
出处
《华西医学》
CAS
2009年第8期1966-1968,共3页
West China Medical Journal
