摘要
目的观察人工股骨头置换术治疗高龄股骨粗隆间粉碎性骨折的临床疗效。方法120例高龄股骨粗隆间粉碎性骨折患者依据手术方式的不同分为观察组和对照组各60例，观察组采用人工股骨头置换术；对照组采用动力髋内固定术。观察比较两组术中出血量、手术时间、下床活动时间、住院时间及并发症发生率等。结果观察组术中出血量（413．6±125．2）ml、手术时间（65．2,4-9．8）min与对照组的（440．5±126．3）ml、（81．2±12．1）min差异均无统计学意义（均P〉0．05）。观察组下床活动时间（5．9±2．3）d、住院时间（15．6．4-2．6）d、并发症发生率11．7％（7／60）与对照组的（16．4±4．2）d、（25．7±3．1）d、33．3％（20／60）差异均有统计学意义（t=16．98、19．34，x2=8．08，均P〈0．05）。结论人工股骨头置换术治疗高龄股骨粗隆间粉碎性骨折安全性高，卧床时间短，并发症少，值得推广应用。
Objective To investigate the effect of artificial femoral head replacement surgery in the treatment of elderly patients with intertrochanteric fracture. Methods There were 120 cases with intertrochanteric fracture ac- cording to the different surgical procedures, they were divided into the observation group with 60 cases and the control group of 60 cases. The observation group were taken hemiarthroplasty. The control group were taken dynamic hip fixa- tion. The situations for the two groups of patients after surgery were compared. Results The observation group： the blood loss was （ 413.6 ± 125.2 ） ml, operative time was （65.2 ± 9.8 ） min, ambulation time was （ 5.9 ＋ 2.3 ） d,length of stay was （ 15.6 ± 2.6） d, complication rate was 11.7 %. The control group ： blood loss was （440.5 ± 126.3 ） ml, operative time was （ 81.2 ± 12.1 ） min, ambulation time was （ 16.4 ± 4.2） d,length of stay was （25.7 ± 3.1 ） d, complication rate was 33.3%. The blood loss, operative time was not different between two groups. The ambulation time, hospital stay, complication rate were significantly different. There were statistical significance （ P 〈 0.05 ）. Conclusion The hemiarthroplasty was safe, patients with weight-bearing take exercise early, and bed time was short, had less complications, and could achieve satisfied clinical results, it should be widely applied.
出处
《中国基层医药》
CAS
2012年第6期854-855,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
股骨骨折
人工关节
骨折固定术
内
老年人
Femoral fractures
Joint prosthesis
Fracture fixation, internal
Aged
