全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的疗效比较

Comparison of the Clinical Effects of the Total Hip Arthroplasty and the Artificial Femoral Replacement on the Treatment of Senile Femoral Neck Fracture

目的:探讨全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的疗效。方法:选择在我院的82例行手术置换治疗的老年股骨颈骨折患者,随机分为观察组和对照组,每组41例。观察组采用全髋关节置换术,而对照组实施人工股骨头置换术。观察并比较两组患者的手术时间、术中出血量、血压、术后引流及髋关节功能等。结果:观察组手术时间、术中出血量及收缩压均显著高于对照组,差异具有统计学意义(P<0.05);术后引流量及并发症的发生率,两组比较无显著性差异(P>0.05)。观察组患者术后Harris评分为(93.25±4.51),对照组患者Harris评分为(82.76±3.82),观察组显著优于对照组,差异具有统计学意义(P<0.05)。结论:与人工股骨头置换术相比,全髋关节置换术用于治疗老年股骨颈骨折具有创伤小,恢复快的临床效果,患者术后髋关节功能恢复情况良好,值得在临床推广应用。

Objective： To discuss the clinical effects of the total hip replacement and the artificial femoral replacement on the treatment of senile femoral neck fractures. Methods： A total of 82 elderly patients with the femoral neck fracture who were treated in our hospital by replacement surgery were selected and randomly divided into the observation group and the control group, with 41 cases in each one. The patients in the control group were treated by the artificial femoral replacement, while the patients in the observation group were treated by the total hip arthroplasty. Then the operation time, the blood loss, the blood pressure, the function of articulatio coxae and the incidence of complications were observed and compared between two groups. Results： The operation time, the blood loss and the SBP of patients in the observation group were higher than those of the patients in the control group with statistically significant differences（P〈0.05）. There was no statistically significant difference about the hydrops and the incidence of complications between two groups（P〉0.05）. Harris score of patients in the observation group was（93.25±4.51） which was higher than（82.76±3.82） of patients in the control group（P〈0.05）. Conclusion： When compared with the artificial femoral head replacement, the total hip replacement is more worthy of application for senile femoral neck fracture with the advantages of less trauma and better recovery, as well as the postoperative functions of hip joint.