【作者】 宋华；

【导师】 贾玉华；

【作者基本信息】 山东大学 ， 外科学， 2011， 硕士

【摘要】 目的研究人工股骨头置换术和人工全髋关节置换术的临床疗效、术后并发症及预防。方法将移位明显的老年股骨颈骨折(Gard- enⅢ、Ⅳ型)患者65例,随机分为两组,人工股骨头置换组25例,人工全髋关节置换术组40例,比较两组的住院时间、手术时间、术中出血量、输血量、下地时间、髋关节功能、术后并发症的发生率。结果手术时间人工股骨头置换术组低于人工全髋关节置换术组(P<0.05)；术中出血量人工股骨头置换术组低于人工全髋关节置换术组(P<0.05)；随访时间1年6个月,人工全髋关节置换术组优良率明显高于人工股骨头置换术组(P<0.05),并发症发生率明显低于人工股骨头置换术组(P<0.05)。结论人工全髋关节置换术组临床疗效优于人工股骨头置换术组,但手术时间、术中出血量较股骨头置换术组差,临床上可根据患者的具体情况选择使用。更多还原

【Abstract】 Objective:To investigate the clinical therapeutic effect, postoperative complications and Prevention of artificial femoral head prosthetic replacement and total hip replacement.Methods:A total of 65 patients with apparent displacement aging femoral neck fractures were assigned to two groups randomized:Femoral head prosthetic replacement group and total hip replacement group.25 cases were in Femoral head prosthetic replacement group, the other were in total hip replacement group. Length of Stay, operation time, intraoperative blood volume, blood transfusion volume, time to get out of bed, function of hip joint, postoperative complications were compared between the two groups.Results:Operation time of femoral head prosthetic replacement group was obviously shorter than that of total hip replacement group (P<0.05). Also there was less intraoperative blood volume in femoral head prosthetic replacement group (P<0.05). We did 21 months follow up, fineness rate of total hip replacement group was much higher than femoral head prosthetic replacement group (P< 0.05), and the postoperative complications incidence rate of total hip replacement group was obviously lower than femoral head prosthetic replacement group (P <0.05).Conclusion:The clinical therapeutic effect of total hip replacement group is much better than femoral head prosthetic replacement group’s. But operation time of this operation is obviously longer than the later, intraoperative blood volume is more than that of femoral head prosthetic replacement group. So we should select proper operation for evevy pationt according to their specific condition.更多还原