全髋与半髋关节置换术治疗老年股骨颈骨折的疗效对比

摘要

Objective To discuss the clinical effect of total hip replacement and half hip replacement in gerontal femoral neck fracture.Methods 60 patients,with femoral neck fractures,are hospitalized from June 2010 to September 2012.In which total hip arthroplasty in 30 cases(Experimental Group),half hip replacement in 30 cases(Control group).After treatment,compared to the operative time,blood loss,hip function recovery time,rain rate and the occurrence of complications.1-year follow-up,according to the Harris score hip function score.Results The operative time and blood loss of the experimental group were signiifcantly more than the control group (P<0.05),but the experimental group was an excellent rate and complications were signiifcantly better than the control group (P<0.05).Conclusion Total hip and half-hip arthroplasty for femoral neck fractures have a beneifcial effect,but we still need to be based on the patient's physical status,capabilities,and fracture damage extent selects the appropriate surgical approach.%　　目的探讨全髋与半髋关节置换术治疗老年股骨颈骨折的临床疗效。方法选择60例老年股骨颈股骨患者，随机分为两组，各30例。实验组采用全髋关节置换术治疗，对照组采用半髋关节置换术治疗，比较两组患者手术时间、术中出血量、术后髋关节功能恢复时间、疼痛率及并发症发生情况。随访1年，根据Harris评分标准进行髋关节功能评分。结果实验组手术时间和术中出血量明显多于对照组(P＜0.05)，但实验组术后优良率和并发症发生情况明显优于对照组（P＜0.05）。结论全髋与半髋置换术对老年股骨颈骨折均有良好疗效，应根据不同患者的身体状态、合并症及骨折损伤程度选择合适的手术方式。