中老年股骨颈骨折患者行全髋关节置换术的效果分析

Analysis of the Middle-aged and Elderly Patients with Femoral Neck Fracture

目的探究全髋关节置换术治疗中老年股骨颈骨折患者的影响。方法在2015年1月—2019年12月期间该院符合中老年股骨颈骨折诊断标准的病例样本中抽选100例,以入院时间单双号进行分组,其中对照组(接受半髋关节置换术)50例,研究组(选择全髋关节置换术)50例,以手术相关指标、髋关节功能恢复情况、治疗总有效率、预后为观察指标展开对比。结果相比研究组,对照组手术用时、术中出血量、总引流量指标均更优,差异有统计学意义(P<0.05),在住院时间方面差异无统计学意义(P>0.05);但治疗总有效率研究组的94%显著高于对照组76%,差异有统计学意义(χ2=3.872,P<0.05);且研究组在术后3个月、6个月、12个月的Harris评分均比对照组高,差异有统计学意义(P<0.05);研究组的髋臼完好率91%高于对照组68%,髋臼磨损率2%及增生率4%比对照组更低,差异有统计学意义(χ2=7.293、4.891、4.000,P<0.05),假体松动发生率两组差异无统计学意义(P>0.05)。结论中老年股骨颈骨折采取全髋关节置换术治疗方案,临床效果佳,改善患者髋关节功能方面效果显著,具有应用推广的价值。

Objective To explore the effect of total hip arthroplasty in the treatment of middle-aged and elderly patients with femoral neck fractures.Methods From January 2015 to December 2019,100 cases were selected from the sample of cases in the hospital that met the diagnostic criteria for femoral neck fractures for middle-aged and elderly people,and were grouped according to the odd and even numbers of admission time.The control group(receiving half hip replacement)50 cases,and the study group(selecting total hip replacement)50 cases.The related indicators of the operation,the recovery of hip joint function,and the total effective rate of treatment and prognosis were used for comparison.Results compared with the study group,the control group had better operation time,intraoperative blood loss,and total drainage indexes,the difference was statistically significant(P<0.05),there was no statistically significantly significant difference in hospital stay(P>0.05);however,94%of the total effective rate of treatment in the study group was significantly higher than 76%in the control group,the difference was statistically significant(χ2=3.872,P<0.05),and the Harris scores of the study group at 3,6 and 12 months after surgery were all higher than those in the control group,the difference was statistically significant(P<0.05);the acetabular intact rate of the study group was 91%higher than that of the control group 68%,and the acetabular wear rate of 2%and the hyperplasia rate of 4%were lower than those of the control group,the difference was statistically significant(χ2=7.293,4.891,4.000,P<0.05),there was no difference in the incidence of prosthesis loosening between the two groups(P>0.05).Conclusion The total hip arthroplasty for the treatment of femoral neck fractures in middle-aged and elderly patients has good clinical effect,and it has significant effects in improving the hip joint function of patients.