人工股骨头置换术与内固定治疗高龄骨质疏松股骨粗隆间骨折效果对比

发布时间：2018-02-02 06:59

本文关键词： 骨质疏松股骨粗隆间骨折人工股骨头置换术 PFNA ALP　出处：《中华肿瘤防治杂志》2016年S1期 　论文类型：期刊论文

【摘要】：目的探讨人工股骨头置换术与内固定治疗高龄骨质疏松股骨粗隆间骨折患者的临床效果。方法选取2013-01-2015-01廊坊市第四人民医院收治的高龄骨质疏松股骨粗隆间骨折患者60例为研究对象,按入院时间分为PFNA治疗组、ALP治疗组及人工髋关节置换术组,观察3组患者手术时间、术中出血量、愈合时间、住院时间,以及治疗总有效率、并发症发生率。结果 PFNA治疗组及ALP治疗组疗效明显优于对照组,差异有统计学意义,P0.05;FFNA治疗组、ALP治疗组手术时间、术中出血量、愈合时间、住院时间及并发症发生率明显优于人工髋关节置换术组,差异有统计学意义,P0.05。结论在高龄骨质疏松股骨粗隆间骨折的治疗上,PFNA、人工髋关节置换术疗效优于ALP,PFNA创伤小、出血量少及愈合时间短,人工髋关节置换术并发生少,可根据患者情况合理选择。
[Abstract]:Objective to investigate the clinical effect of artificial femoral head replacement and internal fixation in the treatment of senile patients with femoral intertrochanteric fracture. Sixty elderly patients with osteoporotic intertrochanteric fracture of femur were studied. According to the admission time, the patients were divided into PFNA treatment group and artificial hip replacement group. The operation time, intraoperative blood loss, healing time, hospitalization time and total effective rate were observed. Results the effect of PFNA group and ALP group was significantly better than that of control group (P 0.05). The operative time, intraoperative blood loss, healing time, hospitalization time and incidence of complications in the FFNA group were significantly better than those in the artificial hip replacement group (P < 0.05). Conclusion in the treatment of osteoporotic intertrochanteric fracture of femur, the effect of artificial hip replacement is better than that of ALP with less trauma, less bleeding and shorter healing time. Artificial hip arthroplasty has less occurrence and can be reasonably selected according to the patient's condition.
【作者单位】：廊坊市第四人民医院;
【分类号】：R687.3;R580
【正文快照】： 中华肿瘤防治杂志,2016,23(S1):216-217随着经济社会的快速发展,人们生活工作方式的不断改变,以及人口老龄化社会的加剧,老年群体股骨粗隆间骨折的发病率呈现逐年上升态势[1]。由于老年人各个脏器功能严重退化,临床治疗风险较多,而给予长期的保守治疗,临床效果并不理想,且可能

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