比较人工股骨头置换术和全髋关节置换术治疗老年股骨颈骨折的疗效及对生活质量的影响

发布时间：2018-04-09 13:31

本文选题：股骨颈骨折　切入点：人工股骨头置换术　出处：《中国老年学杂志》2017年06期

【摘要】：目的探讨对比人工股骨头置换术和全髋关节置换术治疗老年股骨颈骨折的疗效及对生活质量的影响。方法老年股骨颈骨折患者108例,随机分为两组各54例。对照组接受人工股骨头置换术,观察组接受全髋关节置换术。对比两组的手术时间、术中失血量、术后引流量、住院天数以及术后并发症发生率。对比两组术后1年的髋关节Harris评分以及SF-36量表评分结果。结果对照组手术时间、术中出血量、术后引流量、住院天数均显著少于观察组(均P0.05);两组术后1年髋关节Harris评分优良率无统计学差异(P0.05);观察组术后1年SF-36量表各维度及总体健康的评估结果均显著高于对照组(均P0.05);对照组术后并发症发生率无统计学差异(P0.05)。结论人工股骨头置换术和全髋关节置换术治疗老年股骨颈骨折均具有良好的疗效。人工股骨头置换术的创伤更小,而全髋关节置换术的远期生活质量更好,临床应综合评估患者的身体状况选择手术方案。
[Abstract]:Objective to investigate the effect of artificial femoral head replacement and total hip arthroplasty on femoral neck fracture in elderly patients.Methods 108 elderly patients with femoral neck fracture were randomly divided into two groups (54 cases each).The control group received artificial femoral head replacement and the observation group received total hip replacement.The operative time, blood loss, postoperative drainage, hospital stay and postoperative complications were compared between the two groups.The hip joint Harris score and SF-36 score were compared one year after operation between the two groups.Results in the control group, the operation time, intraoperative blood loss, postoperative drainage,The days of hospitalization were significantly less than those of the observation group (all P 0.05), the excellent and good rate of Harris score of hip joint in the two groups was not significantly different at one year after operation (P 0.05), and the evaluation results of all dimensions and overall health of SF-36 scale in the observation group were significantly higher than those in the control group (all the results were all higher than those in the control group).The incidence of postoperative complications in the control group was not significantly different from that in the control group (P 0.05).Conclusion artificial femoral head replacement and total hip arthroplasty are effective in the treatment of senile femoral neck fracture.Artificial femoral head replacement has less trauma and better long-term quality of life for total hip arthroplasty.
【作者单位】：定西市第一人民医院骨一科;定西市通渭县医院急诊科;
【分类号】：R687.3

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