高龄股骨颈骨折采用骨水泥型人工半髋或全髋关节置换治疗的效果比较

Efficacy Comparison of the Treatment of Senile Femoral Neck Fracture by Cemented Artificial Hemiarthroplasty or Artificial Total Hip Arthroplasty

目的探讨高龄股骨颈骨折患者分别采用骨水泥人工半髋和全髋关节置换进行治疗的疗效差异。方法选取86例高龄股骨颈骨折患者,按照手术治疗的不同将其分为骨水泥人工半髋关节置换组(甲组)与骨水泥人工全髋关节置换组(乙组),各43例。比较两组患者的手术时间、治疗的优良率等之间的差异。结果甲组的手术时间、术中出血量、术后下床活动时间均少于乙组(P<0.05);甲组的并发症发生率和治疗优良率略低于乙组,但差异无统计学意义(P>0.05)。结论人工全髋关节置换治疗高龄股骨颈骨折疗效略好,较适合于身体状况较好的患者,骨水泥人工半髋关节置换适合于体条件较差者。

Objective To explore the efficacy difference of the treatment of senile femoral neck fracture between by cemented artificial hemiarthroplasty and by artificial total hip arthroplasty. Methods 86 cases of senile femoral neck fracture were selected and divided into group A（cemented artificial hemiarthroplasty） and group B（artificial total hip arthroplasty） with 43 cases respectively. Comparison the difference of two groups with operation time, the treatment good rate et al. Results The operation time, blood loss, postoperative ambulation time of group A were less than group B（P 0.05）; the incidence of complications and the treatment good rate were slightly lower than Group B, but the difference was not statistically significant（P〈0.05）. Conclusion Cemented artificial hemiarthroplasty for the treatment of femoral neck fractures was slightly better, so it was more suitable for healthier patients; cemented artificial hemiarthroplasty was suitable for those with poor body condition.