人工股骨头置换与全髋关节置换治疗老年股骨颈骨折的临床对比分析

Clinical Comparative Analysis Between Artificial Femoral Head Replacement and Entire Hip Replacement Operation for the Treatment of the Femoral Neck Fractures in the Elderly

目的分析比较全髋关节置换和人工股骨头置换在治疗老年人股骨颈股折的临床效果。方法将在我院治疗的135例老年股骨颈骨折患者随机分为两组,其中,人工股骨头置换组62例患者进行人工股骨头置换手术,而全髋关节置换组73例患者则进行全髋关节置换手术,分析比较两组患者的手术时间、住院时间、手术过程中的失血量、手术后的早期并发症及远期疗效等。结果全髋关节置换组的远期并发症发生率显著低于人工股骨头置换组,但在失血量和手术时间上远远高于人工股骨头置换组,而在早期并发症和住院时间等方面,两组患者之间的差距不具有显著性。结论全髋关节置换和人工股骨头置换在治疗老年人股骨颈骨折上各有优缺点,应充分考虑患者的实际情况来采用相应的手术方式。

Objective To analysis the clinical effect on elderly patients with femoral neck fracture through the entire hip replacement and artificial femoral head replacement operation. Methods A total of 135 elderly patients with femoral neck fracture admitted to our hospital were randomly divided into two groups, and 62 cases for artificial femoral head replacement operation while 73 cases for entire hip replacement operation. Compare and analysis the average operation time, hospital stay, blood loss during the operation, early complications after the operation and the long term effect of the two groups. Results The incidence of long term complication in the entire hip replacement group were significantly lower than those in the artificial femoral head replacement group, but blood loss and the average operation time were significantly higher. However, the early complications and hospital stay between two groups were not significant difference. Conclusion There were both advantage and disadvantage in the entire hip replacement group and artificial femoral head replacement group. So we should take the actual situation of the patients into full consideration and take the corresponding operation.