带股骨距假体置换治疗老年股骨粗隆间粉碎骨折的效果

发布时间：2019-04-08 14:02

【摘要】：目的观察老年股骨粗隆间粉碎骨折患者实施带股骨距假体置换治疗的临床效果。方法将84例老年股骨粗隆间粉碎骨折患者作为受试对象,利用随机数字表分为观察组(n=42)和对照组(n=42)。对照组实施常规手术治疗,观察组实施带股骨距假体置换治疗。观察两组手术持续时间、术中出血量、术后下地活动时间和住院时间,对比两组治疗前后关节功能评分(Harris量表)及并发症发生情况。结果观察组手术持续时间、术后下地活动时间和住院时间均较对照组明显缩短(P0.05),且观察组术中出血量显著少于对照组(P0.05);治疗前观察组与对照组各维度Harris评分无显著差异(P0.05),治疗后两组评分均较治疗前显著升高(P0.05),且观察组评分均远高于对照组(P0.05);两组并发症发生率比较有显著差异(P0.05)。结论对老年股骨粗隆间粉碎骨折实施带股骨距假体置换治疗能够有效减轻创伤,还可改善关节功能。
[Abstract]:Objective to observe the clinical effect of femoral intertrochanteric comminuted fracture in elderly patients with femoral intertrochanteric comminuted fracture. Methods 84 elderly patients with comminuted femoral intertrochanteric fracture were randomly divided into observation group (n = 42) and control group (n = 42). The patients in the control group were treated with routine operation and the patients in the observation group were treated with femoral talus prosthesis replacement. The duration of operation, the amount of bleeding during the operation, the time of postoperative activity and the length of hospitalization were observed. The joint function scale (Harris) and the occurrence of complications were compared between the two groups before and after treatment. Results compared with the control group, the duration of operation, the postoperative activity time and the hospitalization time in the observation group were significantly shorter than those in the control group (P 0.05), and the amount of bleeding in the observation group was significantly less than that in the control group (P 0.05). There was no significant difference in Harris scores between the two groups before and after treatment (P0.05). After treatment, the scores in the two groups were significantly higher than those before treatment (P0.05), and the scores in the observation group were significantly higher than those in the control group (P0.05). There was a significant difference in the incidence of complications between the two groups (P0.05). Conclusion replacement of femoral intertrochanteric comminuted fracture in elderly patients with femoral intertrochanteric comminuted fracture can effectively reduce trauma and improve joint function.
【作者单位】：安阳市第三人民医院骨科;
【基金】：安阳市科技攻关项目(201679)
【分类号】：R687.3

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