全髋与半髋关节置换术治疗老年股骨颈骨折的效果对比分析

Comparative analysis of the effect of total hip arthroplasty and hemiarthroplasty in the treatment of femoral neck fractures in the elderly

目的:研究全髋与半髋关节置换术治疗老年股骨颈骨折的效果差异。方法:选取老年股骨颈骨折患者92例为研究对象,采用随机数字表法将患者分为试验组与对照组,每组各46例,试验组采用全髋关节置换术,对照组采用半髋关节置换术。观察两组患者的治疗效果,并对两组患者的治疗情况进行比较,同时记录两组患者的并发症发生情况。结果:试验组患者Harris评分优于对照组,但手术时间、术中出血量及髋关节恢复时间均不如对照组,而并发症发生率高于对照组,两组间数据差异具有统计学意义(P <0. 05)。结论:半髋关节置换术治疗老年股骨颈骨折效果优于全髋关节置换术,且安全系数高,除可能出现髋臼疼痛与髋臼磨损外,总体而言,更适合临床推广。

Objective To evaluate the effect of total hip arthroplasty and henfiarthroplasty in the treatment of femoral neck fractures in the elderly. Method 92 patients with femoral neck were selected as the research object, they were divided into experimental group and control group ,46 cases in each group using random rmmber table method. The experimental group was trea- ted with total hip replacement,the control group using senti hip replacement. The therapeutic effects of the two groups were observed, and the treatment of the two groups was compared. The complications of the two groups were recorded. Results The experimental group patients with Harris score was better than the control group, but the operation time, intraoperative blood loss and hip recovery time were no as good as the control group, the complication rate was high than the control group ,with statistically signifi- cant data differences between the two groups （ P 〈 0. 05 ）. Conclusion Hip replacement in the treatment of femoral neck fractures in the elderly is better than total hip replacement, and high safety factor, in addition to possible aeetabular pain and aeetabular wear, overall, more suitable for clinical application.