【摘要】 目的 研究对股骨颈骨折患者实施全髋关节置换手术治疗的临床效果。方法 选取2018年12月—2021年1月广东医科大学附属佛山高明医院（佛山市高明区人民医院）外二科收治的股骨颈骨折患者60例为研究对象，以入院时间先后顺序予以分组，参考组30例实施半髋关节置换手术治疗，探究组30例实施全髋关节置换手术治疗，对两组患者治疗效果进行分析。结果 两组患者治疗总有效率探究组（96.67%）高于参考组（70.00%），差异有统计学意义（χ~2=7.680,P<0.05）。两组患者手术操作用时、术中出血量、术后引流量、术后首次下床时间、住院时间对比，差异无统计学意义（P>0.05）。手术前，两组患者髋关节功能评分对比，差异无统计学意义（P>0.05）；术后1个月、6个月、12个月探究组评分均高于参考组，差异有统计学意义（P<0.05）。探究组切口感染、假体松动、深静脉血栓的并发症总发生率低于参考组，差异有统计学意义（P<0.05）。探究组肢体短缩长度少于参考组，差异有统计学意义（P<0.05）。术前1 d，两组患者疼痛评分对比，差异无统计学意义（P>0.05）；术后1个月，探究组比参考组低，差异有统计学意义（P<0.05）。术前，两组患者生活质量评分对比，差异无统计学意义（P>0.05）；术后，探究组评分比参考组高，差异有统计学意义（P<0.05）。结论 股骨颈骨折患者应用全髋关节置换手术可以提高临床疗效，对髋关节功能改善有重要作用，而且并发症发生率比较低，对患者术后恢复有积极意义。更多还原

【Abstract】 Objective To study the clinical effect of total hip arthroplasty in patients with femoral neck fracture. Methods 60 cases of femoral neck fracture admitted to the Department of Surgery II, Foshan Gaoming Hospital Affiliated to Guangdong Medical University(Foshan Gaoming District People’s Hospital) from December 2018 to January 2021 were selected as the study subjects, and divided into groups according to the order of admission time, 30 patients in the reference group were treated with hemiarthroplasty, and 30 patients in the exploratory group were treated with total hip arthroplasty, and the effects of the two groups were analyzed. Results The total effective rate in the exploratory group(96.67%) was higher than that in the reference group(70.00%), and the difference was statistically significant(χ~2=7.680, P<0.05). There was no statistically significant difference in the operation time, intraoperative blood loss, postoperative drainage volume, first time out of bed after surgery and hospitalization time between the two groups(P>0.05). There was no statistically significant difference in hip function scores between the groups before surgery(P>0.05); and the scores of the exploratory group at 1 month, 6 months and 12 months after surgery were higher than those of the reference group, and the difference was statistically significant(P<0.05). The total incidence of complications such as incision infection, prosthesis loosening and deep vein thrombosis in the exploratory group was lower than that in the reference group, and the difference was statistically significant(P<0.05). The limb shortening length of the exploration group was less than that of the reference group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in pain scores between the two groups one day before the operation(P>0.05); one month after operation the exploratory group was lower than the reference group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in quality of life score between the two groups before operation(P>0.05); and the score of the exploratory group was higher than that of the reference group after operation, and the difference was statistically significant(P<0.05). Conclusion The application of total hip arthroplasty in patients with femoral neck fracture can improve the clinical efficacy and play an important role in the improvement of hip joint function, and the complication rate is relatively low, which is of positive significance to the patients’ postoperative recovery.更多还原