老年颈骨骨折的不同手术治疗方式临床对比分析

Clinical Analysis of Different Surgical Treatments for Agedness Neck Bone Fracture

目的:对老年颈骨骨折的不同手术治疗方式进行临床对比分析。方法:根据某医院2012年3月到2013年2月治疗的100例老年颈骨骨折患者的临床资料进行临床分析判断,其中20例使用的是保守治疗的方法,关节置换组有31例,其中10例为全髓关节置换,剩余的都是使用人工双极头进行置换,使用的均是骨水泥假体,DHS组25例,针对其手术时间、输血量、术后并发症、术后卧床时间各项因素进行对比发现。结论:和半髓置换相对比,尽管全髓置换手术时间较长,术中出血量也相对较多,但是术后的并发症明显减少了,所以在治疗中国老年移位型颈骨折上,全髓置换术要优于半髓置换术,在患者身体条件允许的情况下应首选全髓置换术。

Objective：Do clinical analysis of different surgical treatments for agedness neck bone fracture;Methods： analyze the clinical data of 100 cases of elderly patients with neck bone fracture in March toFebruary 2012 treated in a hospital, 20 cases with conservative treatment. Joint replacement group of 31cases, which including 10 cases of total hip arthroplasty, the rest are bipolar head replacement both withbone cement prosthesis. DHS group of 25 cases, compare the operation time, blood transfusion amount,the postoperative complications and postoperative bed time. Result： Although total hip arthroplasty has along time and loss lot blood in the operation, compared with half hip arthroplasty, it has relatively lowerincidence of postoperative complications, so total pulp replacement is better than half pulp replacementin the treatment of Chinese elderly shift on neck fracture, and it should be preferred under the conditionof the patients body allowed total hip arthroplasty.