人工双动股骨头置换术治疗老年股骨颈骨折的临床研究

Clinical study of artificial double-action femoral head replacement in the treatment of femoral neck fracture in elderly patients

目的探讨对老年股骨颈骨折患者实施人工双动股骨头置换术的临床疗效。方法选取2015年2月~2017年3月我院收治的94例老年股骨颈骨折患者作为研究对象,采用抽签法分为两组,每组各47例。对照组采用切开复位内固定方法治疗,观察组采用人工双动股骨头置换术治疗,比较两组患者的治疗优良率、术中失血量、手术时间、住院时间以及手术并发症发生率。结果观察组患者的治疗优良率(97.87%)高于对照组(74.47%),差异有统计学意义(P<0.05);观察组患者术中失血量少于对照组,差异有统计学意义(P<0.05);观察组患者手术时间及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组患者的手术并发症总发生率(2.13%)低于对照组(27.66%),差异有统计学意义(P<0.05)。结论对于老年股骨颈骨折患者选择人工双动股骨头置换术予以治疗,可提高治疗优良率,减少术中失血量,缩短手术时间及住院时间,减少手术并发症,从而促进老年股骨颈骨折患者病情好转以及康复。

Objective To explore the clinical effect of artificial double-action femoral head replacement in the treat- ment of femoral neck fracture in elderly patients. Methods A total of 94 elderly patients with femoral neck fracture treated in our hospital from February 2015 to March 2017 were selected as the study subjects, and divided into two groups by lottery method, with 47 cases in each group. The control group was treated with open reduction and internal fixation, and the observation group used artificial double-action femoral head replacement for treatment. The rate of treatment, intraoperative blood loss, operative time, length of stay and the incidence of surgical complications were compared between the two groups. Results The excellent rate of treatment in the observation group （97.87%） was high- er than that in the control group （74.47%）, the difference was statistically significant （P〈0.05）. The amount of blood loss in the observation group was less than that in the control group, the difference was statistically significant （P〈0.05）. The operative time and living time of the elderly patient in the observation group were shorter than those in the control group, the differences were statistically significant （P〈0.05）. The incidence of complications in the observation group （2.13%） was lower than that in the control group （27.66%）, the difference was statistically significant （P〈0.05）. Con- clusion For elderly patients with femoral neck fracture choose double acting femoral head arthroplasty treated, in im- proving the rate of good treatment, reduce the intraoperative blood loss, shorten the operation time and hospital stay, re- duce the surgical complications get exact effect, thereby promoting improved disease in elderly patients with femoral neck fracture and rehabilitation.