全髋关节置换术治疗老年股骨颈骨折的临床疗效探讨

Clinical effect investigation of total hip replacement in treatment of elder patients with femoral neck fracture

目的探讨全髋关节置换术治疗老年股骨颈骨折的临床疗效。方法选取我院2014年3月至2016年3月收治的65例老年股骨颈骨折患者为研究对象,分为对照组(33例)和观察组(32例)。对照组患者实施半髋关节置换术治疗,观察组患者实施全髋关节置换术治疗,对比两组患者治疗效果及并发症的发生情况。结果观察组患者的手术时间与术中出血量高于对照组(P<0.05),但两组患者的术后下床活动时间、住院时间比较,无显著性差异(P>0.05);观察组患者优良率为93.75%(30/32),对照组患者优良率为84.85%(28/33),差异有统计学意义(P<0.05);观察组发生髋部疼痛2例,髋臼塌陷1例,并发症发生率为9.38%;对照组发生假体松动1例,髋部疼痛3例,髋臼塌陷2例,并发症发生率为18.18%,两组比较,差异有统计学意义(P<0.05)。结论对老年股骨颈骨折患者实施全髋关节置换术,能有效提高髋关节功能,减少并发症的发生,值得临床进行推广。

Objective To investigate the clinical effect of total hip replacement in the treatment of elder patients with femoral neck fracture. Methods Sixty-five cases of patients with femoral neck fracture admitted in our hospital from March 2014 to March 2016 were chosen as research objects, and randomly divided into control group （33 cases） and observation group （32 cases）. Patients in the control group were given artificial femoral head replacement and patients in the observation group w ere given total hip replacement, the efficacy and occurrence rate of complications between the two groups were compared. Results The operation time and blood loss during the surgery in the observation group were higher than those of the control group （P〈0.05）, while the postoperative leaving bed time and hospitalization time between the two groups had no significant difference （P〉0.05）. The excellent rate of the observation group was 93.75% （30/32） and 84.85% （28/33） of the control group, the difference was statistically significant （P〈0.05）. There were 2 cases of hip pain and 1 case of acetabular collapse in observation group, the incidence of adverse reactions was 9.38%; and there was 1 case of prosthesis loosening, 3 cases of hip pain and 2 cases of acetabular collapse in the control group, the incidence of adverse reactions was 18.18%, the difference was statistically significant （P〈O.05）. Conclusion For elderly patients with femoral neck fracture, total hip replacement can effectively improve the hip function and reduce the incidence of complications, which is worth of clinical application.