全髋与半髋关节置换在老年股骨颈骨折治疗中应用的meta分析

Total Hip Replacement and Part of the Hip Replacement in the Treatment of Senile Femoral Neck Fracture Meta Analysis

采用meta方法对比分析在老年股骨颈骨折治疗当中全髋和半髋关节置换手术的结果差异.方法:采用计算机在中国知网、万方数据库、维普网、Research Gate、NCBI等检索2005年-2020年的文献,选择15篇结构完整的文献开展分析.结果:meta结果显示,全髋和半髋关节置换在治疗老年股骨颈骨折的过程当中感染率和病死率差异均比较小,无统计学意义(P>0.05).全髋关节置换手术花费时间更长,手术中的出血量也更多,与半髋关节置换相比差异显著,具有统计学意义(P<0.05).全髋关节置换的患者的并发症发生率更低,整体治疗效果更优.结论:在老年股骨颈骨折过程当中采用全髋关节置换手术的效果更好,而对于预期寿命低于5年或者无法耐受全髋关节置换手术的患者,可以采用半髋关节置换术.

Objective:Purpose By adopting the method of meta analysis in the treatment of total hip and femoral neck fracture half a dfference between the results of hip replacement surgery.Methods:By using the computer in hownet,a database of ten thousand,China's network,ResearchGate,NCBI retrieval of literature during 2005 to 2020,select 15 complete structure to carry out the analysis of literature.Results:Version meta,according to the results of total hip and total hip replacement in the treatment of senile femoral neck fracture in the process of infection rate and fatality rate differences are relatively small,there is no statistical significance(P>0.05).Total hip replacement surgery time is longer,the bleeding is more in surgery,compared with half a hip replacement significant dfference,statistically significant(P<0.05).Observation group of patients with a lower incidence of complications,the overall treatment effect is better.Conclusion:Among the elderly femoral neck fracture process using the effect of total hip replacement surgery is better,and for less than 5 years life expectancy or cannot tolerate patients with total hip replacement surgery,can use half a hip replacement.