髋关节置换术治疗股骨颈骨折的效果探析

Effect of hip arthroplasty for treatment of femoral neck fracture

目的 :探讨用髋关节置换术治疗股骨颈骨折的临床效果。方法 :择取2014年1月至2017年1月宜宾市长宁县人民医院收治的148例股骨颈骨折患者,对其接受治疗的情况进行回顾性研究。根据(0,1)分布的原则,将这148例患者平均分为手术A组和手术B组。使用切开复位内固定术对手术A组患者进行治疗,使用髋关节置换术对手术B组患者进行治疗。治疗结束后,比较两组患者手术的用时、术中的出血量、术毕至首次下床活动的时间、并发症的发生率和髋关节功能恢复的优良率。结果 :手术B组患者手术的用时和术毕至首次下床活动的时间均短于手术A组患者,其术中的出血量少于手术A组患者,其并发症的发生率低于手术A组患者,其髋关节功能恢复的优良率高于手术A组患者,P<0.05。结论:用髋关节置换术治疗股骨颈骨折具有手术用时短、患者在术中的出血量少、在术后恢复的速度快、并发症的发生率低和髋关节功能恢复的情况好等优点。

Objective ： To investigate the clinical effect of hip arthroplasty for treatment of femoral neck fracture. Methods ： Randomly select 148 cases of patients of femoral neck fracture treated in The People＇ s Hospital of Changning County during January 2014 to January 2017, retrospectively study clinical material of these patients. Base on （0,1） distribution principles, divided the 148 patients into group A and group B. Treat group A with open operation, treat group B with hip arthroplasty. Compare time of time of operation, intraoperative bleeding, activity out of bed days, complication incidence and distinguished achiever ratio of hip function. Results ： time of operation of group B is shorter than group A, intraoperative bleeding is less of group B than group A, activity out of bed days of group B is less than group A, distinguished achiever ratio of hip function of group B is higher than group A（P〈0.05）. Conclusion ： Apply hip arthroplasty for the treatment of femoral neck fracture have advantages of shorter time of operation, less intraoperative bleeding, shorter recovery time, lower complication incidence ,better situation of hip arthroplasty recovery.