65岁以上股骨粗隆间骨折患者行髋关节置换和内固定术的临床分析

Clinical Analysis of 65 Years of Age in Patients with Intertrochanteric Fractures of the Hip Joint Replacement and Internal Fixation

目的探讨65岁以上股骨粗隆间骨折患者行髋关节置换和内固定术的临床疗效。方法选取60例2013年8月—2014年8月在该院接受治疗的65岁以上股骨粗隆间骨折患者,以随机方式将其平均分为两组,即对照组与观察组,对观察组患者实施髋关节置换术治疗,对对照组患者实施内固定术治疗。对比两组患者术后死亡率、并发症发生率、内置物松动率、髋部畸形率及髋关节功能评分等相关指标。结果术后观察组患者优良率为80.0%,对照组患者优良率为53.3%,观察组明显优于对照组,差异有统计学意义(P<0.05),观察组患者髋关节功能评分明显优于对照组,差异有统计学意义(P<0.05),但术后观察组患者死亡率显著高于对照组,差异有统计学意义(P<0.05);两组患者术后髋部畸形率、内科并发症发生率、内置物松动率,差异无统计学意义(P>0.05)。结论研究表明,内固定术与髋关节置换术治疗老年股骨粗隆间骨折患者均有其各自优势,需要对患者实际病情全面分析后才能决定所用治疗方法。

Objective To investigate the clinical efficacy of over 65 years in patients with intertrochanteric fractures hip replace-ment and internal fixation. Methods 60 August 2013 - August 2014 in our hospital treated 65 patients over the age of in-tertrochanteric fracture of the femur, in a random manner which were divided into two groups, namely the control group and the observation group, the observation group for patients with hip replacement therapy, patients in the control group on the implemen-tation of internal fixation. Comparison of postoperative mortality, morbidity, implant loosening, hip deformity and hip score and oth-er related indicators. Excellent results were observed in patients was 80.0%in the control group was 53.3%in patients with excel-lent observation group than the control group, P 〈0.05, the observation group were hip score than the control group, P 〈0.05, sta-tistically significant, but the mortality rate was significantly higher postoperative group, P 〈0.05, statistically significant; the post-operative hip deformity rate, incidence of medical complications, implant loosening rate was not significant difference, P〉 0.05, not statistically significant. Conclusion The study shows that internal fixation with hip arthroplasty treatment of elderly patients with intertrochanteric fractures have their respective advantages, the need for the patient to determine the actual disease after treatment with a comprehensive analysis.