全髋关节置换术与切开复位内固定术治疗老年股骨颈骨折
的对比研究
隋英
【期刊名称】《中国医药导报》 【年(卷),期】2011(008)007
【摘要】Objective: To compare the clinical efficacy of total hip replacement and open reduction and intemal fixation in the treatment of elderly patients with femoral neck fracture.Methods: A total of 120 cases of elderly patients with femoral neck fracture were randomly divided into total hip replacement group (60 cases, underwent total hip replacement) and open reduction and intemal fixation group (60 cases, underwent open reduction and intemal fixation).the operation time, perioperative blood volume, time of lying in bed, hospitalized time, clinical efficacy and postoperative complications of the two groups were observed and analyzed.Results: The operation time of total hip replacement group was longer, perioperative blood volume was more and the hospitalized time was longer than those of the open reduction and intemaJ fixation group (P＜0.01, P＜0.05), the time of lying in bed was shorter than those of the open reduction and intemal fixation group (P＜0.05).The excellent rate of total hip replacement group (85.0＜, 51/60) was higher than that of the open reduction and intemal fixation group (61.7％, 37/60) (P＜0.05), and the incidence rate of
complications was lower than that of the open reduction and internal fixation group (5.0％ and 16.7％, P＜0.05).Conclusion: Total hip replacement has advantages of 8horter time of lying in bed, better clinical efficacy and less complications in the treatment of elderly patients with femoral neck fracture, it reduces the potential complications induced by long-time lying in bed, and it is worthy of eactensively application inclinic.%目的:比较全髋关节置换术与切开复位内固定术治疗老年股骨颈骨折的疗效.方法:将120例老年股骨颈骨折患者随机分为全髋关节置换术组和切开复位内固定术组,每组60例.两组患者分别施行全髋关节置换术与切开复位内固定术,观察两组手术时间、术中出血量、患者卧床时间、住院时间、临床疗效及术后并发症情况,并进行对比分析.结果:全髋关节置换术组手术时间较切开复位内固定术组长,术中出血量较后者多,住院时间较后者稍长,差异有统计学意义(P＜0.01、P＜0.05);患者卧床时间较切开复位内固定术组短,差异有统计学意义(P＜0.05).全髋关节置换术组优良率为85.0%(51/60),切开复位内固定术组为61.7%(37/60),两组优良率差异有统计学意义(P＜0.05).全髋关节置换术组并发症发生率较切开复位内固定术组低(5.0%和16.7%,P＜0.05).结论:全髋关节置换术治疗老年股骨颈骨折卧床时间短,临床疗效好,并发症少,减少了老年患者由于长期卧床而导致的潜在并发症,值得临床推广使用. 【总页数】3页(36-38)
【关键词】股骨颈骨折;老年;全髋关节置换术;切开复位内固定术 【作者】隋英
【作者单位】辽宁省辽阳石化总医院,辽宁辽阳,111000
【正文语种】中文 【中图分类】R683 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_china-medical-herald_thesis/0201253132296.html 【相关文献】
1.用股骨颈骨折复位内固定术与全髋关节置换术对老年股骨颈骨折患者进行治疗的效果对比 [J], 武恒洋; 刘国华; 王旭东; 王宝胜
2.全髋关节置换术和切开复位内固定术治疗中老年人股骨颈骨折患者的疗效比较 [J], 陶甄; 龙光华; 曹其盛; 蔡成强
3.全髋关节置换术与切开复位内固定术治疗老年股骨颈骨折的疗效比较 [J], 周华朝; 张克燕; 杨娟
4.全髋关节置换术与切开复位内固定术治疗老年股骨颈骨折的系统评价 [J], 田禾; 陈江涛; 彭斌
5.全髋关节置换术、切开复位内固定治疗老年股骨颈骨折的临床疗效 [J], 李顺利
以上内容为文献基本信息，获取文献全文请下载
全髋关节置换术与切开复位内固定术治疗老年股骨颈骨折的对比研究
