不同置换术治疗老年股骨颈骨折的临床效果

Clinical Effect of Different Replacements in Treatment of Elderly Femoral Neck Fractures

目的:分析全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的临床效果。方法:收集2019年3月-2020年9月山东省济南市莱芜区牛泉中心卫生院接收的80例老年股骨颈骨折患者临床资料,按照入院单双号分为研究组和对照组,各40例,对照组给予人工股骨头置换术,研究组给予全髋关节置换术,对两组患者髋关节恢复情况、住院时间、手术情况、并发症发生情况、生活质量进行比较。结果:研究组患者术后3、6个月Harris评分均高于对照组,住院时间短于对照组,差异有统计学意义(P<0.05);研究组患者的手术时间、术中出血量、术后引流量、下床活动时间较对照组明显缩短/减少,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,研究组患者的生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论:全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折,都改善了患者髋关节功能,但全髋关节置换术效果更显著,减少手术时间、术中出血量、术后引流量,下床活动时间缩短,有效降低了并发症发生率,缩短了住院时间,提高患者的生活质量。

Objective:To analyze the clinical effect of total hip replacement and artificial femoral head replacement in the treatment of elderly femoral neck fractures.Methods:The clinical data of 80 elderly patients with femoral neck fractures received by Niuquan Central Health Center,Laiwu District,Jinan City,Shandong Province from March 2019 to September 2020 were collected.The patients were divided into a study group and a control group according to the admission odd and even numbers,with 40 cases in each group.The control group was given artificial femoral head replacement,and the study group was given total hip replacement.The hip joint recovery,hospital stay,operation,complications,and quality of life were compared between the two groups.Results:The Harris scores of the patients in the study group were higher than those in the control group at 3 months and 6 months after the operation,and the hospitalization time was shorter than that in the control group,and the difference was statistically significant(P<0.05);the operation time,intraoperative blood loss,postoperative drainage volume,and ambulation time in the study group were significantly shortened/reduced compared with the control group,and the difference was statistically significant(P<0.05);The incidence of complications in the study group was lower than that in the control group,and the quality of life score of the patients in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Both total hip replacement and artificial femoral head replacement in the treatment of elderly femoral neck fractures can improve the hip joint function of patients,but total hip replacement is more effective in reducing operation time,intraoperative blood loss,and postoperative drainage,shortening ambulation time,effectively reducing the incidence of complications,shortening the hospitalization time,and improving the quality of life of patients.