【摘要】 目的 报告老年人髋部骨折临床治疗效果,分析老年人髋部骨折特点及诊治注意事项。方法 对55岁以上老年髋部骨折193例的临床资料进行总结分析。结果 随访135例,时间6～22个月。术后下肢静脉栓塞2例,股骨头缺血性坏死1例,内固定物松动1例,116例(85.9％)恢复行走功能。结论 老年人髋部骨折以女性多见,65岁以后,老年髋部骨折发生率明显上升。说明随着年龄的增加,骨折的发生率明显增高,骨折危险性增加。老年人髋部骨折属于骨质疏松性骨折,一般都有明显外伤史。老年人多伴有心血管系统或呼吸系统疾病,骨折后长期卧床具有致命的危险,因此若无禁忌证应争取早期手术。在治疗骨折的同时,应注意对骨质疏松症的治疗。应重视骨折后下肢深静脉血栓形成的预防。更多还原

【Abstract】 Objective To evaluate surgical treament of hip bone fracture in the senile patients, and analyse its characterstics and key points in diagnosis and treatment. Methods The clinical date of 193 cases of over 55 years old with hip bone fracture were analyzed. Results One hundred three- five cases were followed up for 6 mouths to 22 mouths. Two cases had venous thrombosis in lower limbs after operation, 1 cases had femoral head necrosis, 1 cases loosened internal fixation. One hundred and sixteen cases got satisfactory results (85.9%). Conclusion Hip bone fractures are mostly seen in elderly women. After 65 years of age, the hip bone fracture occurs more frequently than before, which is related to the osteoporosis, suggesting that the occrurrence rate and risk of bone fracture increase with the age. The hip bone fracture in the elderly is attributed to osteoporosis, the fracture generally has a history of injury. Since old patients often combine cardiovascular disease or respiratory disease, being bed for a long periold is deadly dangerous. If there is no contraindication, operation should be performed as early as possible. We should treat the osteoporosis together with fracture. We should pay attention to prevent the venous thrombosis in lower limbs after hip bone fracture.更多还原