人工髋关节置换术治疗股骨粗隆间骨折疗效

Treatment of Intertrochanteric Fractures With Artificial Hip Joint Replacement

目的探讨人工髋关节置换术治疗高龄不稳定股骨粗隆间骨折临床疗效观察。方法选取2017年8月-2018年10月60例老年股骨粗隆间不稳定骨折患者为研究对象,采用人工髋关节置换术治疗,随机数字表发将患者分为对照组和观察组,各30例。对照组采用常规内固定,观察组采用人工髋关节置换术。1个月后对患者的效果进行评估,比较治疗后两组患者术中出血量、手术时间、骨折愈合时间和泌尿感染、肺部感染、手术位置易位、压疮的发生率。结果治疗后观察组术中出血量、手术时间、骨折愈合时间评分均优于对照组(P <0.05)。观察组患者经1个月治疗后泌尿感染、肺部感染、手术位置易位、压疮的发生率均低于对照组(P <0.05)。结论髋关节置换术在老年不稳定型转子间骨折患者中的应用可以提高治疗效率,减少术中出血量,缩短手术时间及骨折愈合时间,并发症较少,安全性较高。

Objective To investigate the clinical effect of artificial hip replacement in the treatment of unstable intertrochanteric fractures in elderly patients. Methods From August 2017 to October 2018, 60 cases of elderly patients with unstable intertrochanteric fractures of femur who were treated with artificial hip replacement were selected as study subjects. Patients were divided into control group(n=30) and observation group(n=30) in the random number table. Patients in the control group were treated with conventional internal fixation, while patients in the observation group were treated with artificial hip replacement. After 1 month, the effect of the patients was evaluated, and the intraoperative blood loss, operation time, fracture healing time, urinary infection, pulmonary infection, surgical position translocation, and incidence of pressure ulcers were compared between the two groups. Results Intraoperative blood loss, operation time and fracture healing time scores of the observation group were all better than those of the control group, with statistically significant differences(P < 0.05). After 1 month of clinical treatment, the incidence of urinary infection, pulmonary infection, surgical position translocation and pressure ulcer in the observation group was lower than that in the control group(P < 0.05). Conclusion Artificial hip replacement in the treatment of elderly patients with unstable intertrochanteric fractures can improve the effective rate of treatment, worthy of promotion and application.