目的：比较全髋关节置换术与人工双极股骨头置换术在高龄股骨颈骨折治疗中的应用价值。方法选取本院收治的95例高龄股骨颈骨折患者，按照手术方法不同分为A组（全髋关节置换术组）48例与B组（人工双极股骨头置换术组）47例，比较两组患者各项手术指标及疗效。结果治疗组患者术后下床时间及住院时间均明显短于对照组（P＜0.05），术后6、12个月时治疗组患者VAS评分较同期对照组明显降低（P＜0.05），术后并发症发生率明显低于对照组（P＜0.05），随访12个月后优良率明显高于对照组（P＜0.05），具有显著差异。结论全髋关节置换术具有术后恢复快、并发症少、髋关节功能恢复佳等优势，适宜高龄股骨颈骨折患者应用。%Objective To compare the application value of total hip joint replacement and Bipolar artiifcial femoral head replacement to elderly patients with femoral neck fracture. Method 95 elderly patients with femoral neck fracture treated in our hospital were selected and divided into two groups according to operation Method, A group (total hip joint replacement group) for 48 cases and B group (bipolar artiifcial femoral head replacement group) for 47 cases. The operation indicators and efifcacy of two groups were compared. Result The time of getting out of the bed and length of stay of the treatment group were shorter evidently than that of the control group (P<0.05). VAS score 6 months and 12 months after operation of the treatment group reduced evidently compared with that of the control group (P < 0.05). The incidence rate of complications after operation was evidently lower than that of the control group (P < 0.05). And the excellent rate of the treatment group after 12 months of follow-up was evidently higher than that of the control group (P<0.05), which had statistical significance. Conclusion Total hip joint replacement has the advantages of rapid postoperative recovery, few complications and good recovery of hip-joint function, which is appropriate for elderly patients with femoral neck fracture.
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