髋关节置换治疗老年股骨颈骨折的疗效观察及评估

Observation and Evaluation on Curative Effect of Hip Replacement in the Treatment of Senile Femoral Neck Fracture

目的研究髋关节置换治疗老年股骨颈骨折的疗效。方法选取我院2015年5月—2016年9月收治老年股骨颈骨折患者50例作为研究对象。按手术方式将其分为全髋关节置换组与股骨头置换组。股骨头置换组采用人工股骨头置换术进行治疗,全髋关节置换组采用髋关节置换治疗。比较两组患者手术治疗优良率,平均引流量、住院天数、出血情况和手术时间,患者术后并发症发生率的差异。结果全髋关节置换组患者手术治疗优良率高于股骨头置换组(P<0.05);全髋关节置换组平均引流量、住院天数跟股骨头置换组比较,差异无统计学意义(P>0.05);但全髋关节置换组出血量多于股骨头置换组,手术时间长于股骨头置换组(P<0.05);全髋关节置换组术后并发症发生率低于股骨头置换组患者(P<0.05)。结论髋关节置换治疗老年股骨颈骨折的疗效确切,可减少并发症发生,促进肢体功能恢复,但相对来说,手术时间较长,出血量较多,临床可根据患者具体情况选择合适手术方式。

Objective To study the hip replacement curative effect for thetreatment of senile femoral neck fracture. Methods From May 2015 to September 2016, 50 cases of elderly patients with femoral neck fracture were selected as the study object. According to the operation method, they were divided into total hip replacement group and femoral head replacement group. Femoral head replacement group was treated with the artificial femoral head replacement, total hip replacement group was treated with hip replacement. Compare two groups of patients with surgical treatment, average flow rate and hospitalization days, bleeding and operation time, the difference between patients with postoperative complications. Results The total hip arthroplasty group was superior to the femoral head replacement group（P〈0.05）; There was no significant difference in the mean flow rate and length of stay in the total hip replacement group compared with the femoral head replacement group（P〉0.05）. But the total hip replacement group blood loss than the femoral head replacement group, the operation time was longer than the femoral head replacement group（P〈0.05）. The incidence of postoperative complications in the total hip replacement group was lower than that in the femoral head replacement group（P〈0.05）. Conclusion Hip replacement in the treatment of senile femoral neck fracture curative effect, which can reduce complications, promote the limb function recovery, but relatively speaking, a longer operation time and blood loss more, clinical can choose a suitable operation method on the basis of the condition of the patients.