【摘要】 目的比较空心钉内固定与全髋关节置换术治疗股骨颈骨折的效果。方法选择我院骨科2012年6月~2014年6月收治的股骨颈骨折患者74例,根据随机分组法分为内固定组(n=37)与置换组(n=37)。内固定组治疗应用空心钉内固定术,置换组治疗应用全髋关节置换术。比较两组术中情况、术后情况及术后随访12个月Harris髋关节功能和生活质量情况。结果置换组手术时间长于内固定组(P<0.05),术中出血量多于内固定组(P<0.05);置换组术后下床时间明显快于内固定组(P<0.05),骨折愈合时间明显快于内固定组(P<0.05),住院时间明显短于内固定组(P<0.05),术后并发症发生率明显低于内固定组(P<0.05);置换组术后12个月髋关节功能优良率明显高于内固定组(P<0.05);置换组术后12个月精神健康、情感职能、生命活力、躯体疼痛、生理功能、生理职能、社会功能、总体健康评分高于内固定组,差异均有统计学意义(P<0.05)。结论全髋关节置换术治疗股骨颈骨折疗效明显优于空心钉内固定术,且能明显改善患者术后髋关节功能和生活质量。更多还原

【Abstract】 Objective To compare the effect of internal fixation with hollow nail and total hip arthroplasty in the treatment of femoral neck fracture.Methods A total of 74 cases of femoral neck fracture treated in our orthopaedics department from June 2012 to June 2014 were selected and randomly divided into internal fixation group groups(n=37) and permutation group(n =37).The internal fixation group was treated by internal fixation with hollow screws,permutation group was treated with total hip replacement.The postoperative conditions,and postoperative follow up for 12 months Harris hip joint function and quality of life of two groups of patients were campared.Results The operation time in permutation group was longer than that of the internal fixation group(P<0.05),the intraoperative blood was more than that of internal fixation group(P<0.05).The bed time of the permutation group was significantly faster than that of the internal fixation group(P<0.05),fracture healing time was significantly faster than that of the internal fixation group(P<0.05),hospitalization time was significantly shorter than that in the internal fixation group(P<0.05),the postoperative complication rate was significantly lower than that in the internal fixation group(P<0.05).The permutation group excellent and good rate of hip joint function was significantly higher than that in the internal fixation group at 12 months after operation(P<0.05);The mental health,emotional function,life activity,physical pain,physical function,physical function,social function and overall health score of the permutation group were higher than those in the internal fixation group after 12 months,the differences were statistically significant(P<0.05).Conclusion Total hip replacement for treatment of femoral neck fracture is better than that of the hollow pin internal fixation,and it can improve the function and quality of life of the patients.更多还原