【摘要】 目的探讨全髋关节置换术与半髋关节置换术治疗老年股骨颈骨折患者的临床疗效。方法 62例股骨颈骨折老年患者,依据信封随机法分为全髋组与半髋组,各31例。全髋组采用全髋关节置换术治疗,半髋组采用半髋关节置换术治疗。对比两组手术优良率、并发症发生率、围手术期失血量及术后住院天数。结果全髋组患者手术优良率83.9%高于半髋组的54.8%,差异具有统计学意义(P<0.05)。两组并发症发生率对比,差异无统计学意义(P>0.05)。全髋组围手术期失血量(413.5±71.7)ml多于半髋组的(257.3±53.6)ml,差异具有统计学意义(P<0.05)。两组术后住院天数对比,差异无统计学意义(P>0.05)。结论全髋关节置换术同半髋关节置换术相比,全髋关节置换术治疗老年股骨颈骨折患者优良率明显较高,但围手术期失血量较多,两种方法的手术并发症及住院天数无明显区别,临床上需依据股骨颈骨折老年患者具体情况选择相应手术方式,以达到治疗的最优疗效。更多还原

【Abstract】 Objective To discuss the clinical efficacy of total hip arthroplasty and hemihip arthroplasty in the treatment of femoral neck fracture in elderly patients. Methods A total of 62 elderly patients with femoral neck fracture were divided into total hip group and hemihip group according to envelope method, with 31 cases in each group. The total hip group was treated with total hip arthroplasty, and hemihip group was treated with hemihip arthroplasty. The surgical excellent rate, incidence of complications, perioperative blood loss and postoperative hospitalization time were compared between the two groups. Results The surgical excellent rate 83.9% of total hip group was higher than 54.8% of hemihip group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in incidence of complications between the two groups(P>0.05). The perioperative blood loss(413.5±71.7) ml of total hip group was more than(257.3±53.6) ml of hemihip group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in hospitalization time between the two groups(P>0.05). Conclusion Compared with hemihip arthroplasty, total hip arthroplasty can significantly improve the postoperative excellent rate of elderly patients with femoral neck fracture, but it shows more intraoperative blood loss. There is no significant difference in surgical complications and hospitalization time between the two methods. Clinically, it is necessary to select the corresponding surgical method according to the specific conditions of elderly patients with femoral neck fractures in order to achieve the optimal efficacy.更多还原