高龄股骨颈骨折全髋与半髋方式的选择分析

Analysis on the Choice of Full Hip and Half hip in Elderly Femoral Neck Fracture

目的:分析高龄股骨颈骨折患者选择全髋与半髋关节置换术的治疗效果.方法:选取2019年3月-2020年3月至我院就诊的128例高龄股骨颈骨折患者作为研究对象,按随机数字表法分为64例行半髋关节置换术的对照组和64例行全髋关节置换术的观察组.比较2组手术情况、术后3个月优良率、并发症发生率.结果:对照组的手术时间、术中出血量都明显较观察组少,但观察组的髋关节功能恢复时间明显较对照组短,P<0.05;2组住院时间无显著差异,P>0.05;观察组的优良率为95.31%,对照组为90.63%,P>0.05;2组并发症发生率比较无显著差异,P>0.05.结论:全髋和半髋均能有效治疗高龄股骨颈骨折患者,且不会增加并发症的发生率,但为了使患者更快恢复,则可尽量选择全髋关节置换术.

Objective:To analyze the effect of total hip and half hip replacement in elderly patients with femoral neck fracture.Methods:From March 2019 to March 2020,128 cases of elderly femoral neck fracture patients who were treated in our hospital were selected as the research object.According to the random number table method,they were divided into 64 cases of control group and 64 cases of semi-hip replacement Observation group of total hip replacement.The operation conditions,the excellent and good rate of 3 months after operation,and the incidence of complications were compared between the two groups.Results:The operation time and intraoperative blood loss of the control group were significantly less than those of the observation group,but the recovery time of hip function in the observation group was significantly shorter than that of the control group,p<0.05;there was no significant difference in hospital stay between the two groups,p>0.05;The excellent and good rate of the observation group was 95.31%,the control group was 90.63%,p>0.05;there was no significant difference in the incidence of complications between the two groups,p>0.05.Conclusion:Both total hip and half hip can effectively treat elderly patients with femoral neck fracture without increasing the incidence of complications.However,in order to make patients recover faster,you can choose total hip replacement.