脆性髋部骨折手术与非手术治疗的临床疗效分析

Clinical efficacy of surgery or non-surgery in treatment of fragility hip fracture

目的通过随访脆性髋部骨折不同治疗方法的临床疗效,为髋部脆性骨折的治疗提供指导。方法收集2010—2012年入住我院且获得随访的286例50岁以上脆性髋部骨折患者的住院及随访资料,统计分析手术与非手术组患者恢复优良率、死亡率。结果 2010—2012年我院共收住脆性髋部骨折患者560例,获得随访286例,其中采用手术治疗的250例,非手术治疗的36例,手术组病人功能恢复优良率达85.60%,非手术组病人功能恢复优良率仅为22.22%,2者差异有统计学意义(χ2=81.815,P<0.01)。手术组病人随访期死亡率10.00%,非手术组随访期病人随访期死亡率高达69.44%,2者差异有统计学意义(χ2=77.081,P<0.01)。结论脆性髋部骨折致残率及死亡率高,条件允许的情况下采用手术治疗可以显著降低患者的病死率,促进髋部功能的恢复,提高患者的生活质量。

Objective To evaluate the clinical efficacy of surgery or non-surgery in the treatment of fragility hip fracture so as to provide the guidance for the hip fragile fracture treatment. Methods A total of 286 over 50 years old patients with hip fragile fracture patients were followed up from 2010 to 2012. All the data were analyzed statistically and compared between the surgery group and non-surgery group. Results Among the 286 patients, 250 patients were treated with surgery, and 36 were treated with non-surgieal therapy. The good and excellent rates were 85.60% in the surgery group and 22.22% in the non-surgery group, respectively, and the difference between the two groups was statistically significant （X2 = 81. 815, P〈0.01）. The mortality of the surgery group was 10.00%, and the mortality of the non-surgery group was 69.44 %, and the difference between the two groups was statistically significant （X2 = 77. 081, P 〈 0.01 ）. Conclusions The disability rate and mortality of hip fragile fracture are high. The surgery could reduce the mortality in permit condition, promote the hip function recovery, and improve the quality of life of the patients.