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80岁以上老年人髋部骨折(附78例临床分析)

Hip fracture in patients aged 80 and over

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【作者】 邹天明黄士中合润基王东来陈广祥李力

【Author】 Zou Tianming; Huang Shizhong;He Runji; et al(Department of Orthopedics, Second People′s Hospital of Suzhou, Jiangsu 215002)

【机构】 江苏省苏州市第二人民医院骨科

【摘要】 报道住院的78例80岁以上老年人髋部骨折。股骨颈骨折41例,股骨粗隆间骨折37例;手术治疗52例,非手术治疗26例;骨折前有70.5%的患者并存其它脏器疾病;住院期间死亡3例,无术中死亡。手术治疗组一年内死亡4例,一年内病死率为8.5%,功能优良率为85.1%;非手术治疗组一年内死亡7例,一年内病死率为36.8%,功能优良率为63.2%。表明80岁以上老年人髋部骨折行手术治疗能取得满意疗效。

【Abstract】 Abstract Seventy-eight cases of hip fracture in patients aged 80 and over treated by the authors from January 1987 to January 1994 were reported. There were 41 cases of femoral neck fracture and 37 cases of intertrochanteric fracture. Fifty-two cases were treated operatively and 26 conservatively. Among them, 70.5% had one or more concomitant diseases of other orgens. Three cases died while in hospital, but there was no death during operation. The overall mortality is 21.2% in one year, but that in the surgical group was 8.5%, and in the conservative group 36.8%. In the surgical group 85.1% had excellent and good results and in the conservative group 63.2%. The authors are of the opinion that operation can obtain better results in hip fracture patients aged 80 and over.

  • 【文献出处】 中华老年医学杂志 ,CHINESE JOURNAL OF CERIATRICS , 编辑部邮箱 ,1995年02期
  • 【分类号】R683.3
  • 【被引频次】99
  • 【下载频次】104
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