摘要
目的比较人工股骨头置换与多枚空心螺钉内固定治疗老年股骨颈骨折的疗效与术后生活质量。方法回顾性分析我科治疗老年股骨颈骨折患者的临床资料,按照治疗方式不同分为观察组和对照组,观察组(32例)为人工股骨头置换,对照组(35例)为多枚空心螺钉治疗,比较2组患者手术及术后相关资料。结果观察组手术时间、术中出血量以及手术费用明显高于对照组(P<0.05),但观察组患者术后平均卧床时间短于对照组,且因此引起的静脉血栓、皮肤软组织感染、肺部感染及泌尿系感染也明显降低(P<0.05)。随访1年发现,观察组Harris评分分级和生活质量均显著高于对照组(P<0.05),观察组未出现术后假体松动、脱位情况,对照组中3例患者因股骨颈缺血坏死或者长期不愈合而再次行髋关节置换术治疗。结论人工股骨头置换术后可早期活动,有利于避免感染,且术后患肢影响较小,生活质量更好,但具体治疗方案应根据年龄、骨折类型、全身情况以及生活条件综合考虑。
Objective To compare the clinical effect of internal fixation（AO compress cannulated screws） and artificial femoral head replacement.Methods The elderly patients with femoral neck fractures treated in our department were selected,and they were divided into two groups according to the different ways of treatment.32 patients in the observation group were underwent artificial femoral head replacement while 35 patients in the control group received internal fixation.And the comparison of some related datas was made between the two groups after the operation.Results The operative duration,intra-operative blood loss and cost of hospitalization in the observation group was higher than those of the control group（P0.05）,but the control group has longer immobilization time and higher complication rate of infection.The one-year follow-up shows that the observation group has better Harris scores and life quality（P0.05）.Conclusion Artificial femoral head replacement is a good choice for displaced femoral neck fracture patients over 65 years in order to gain better life quality with a view to age,type of fracture,physical and living condition.
出处
《局解手术学杂志》
2013年第1期34-35,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
人工股骨头置换术
空心螺钉
老年
股骨颈骨折
artificial femoral head replacement
canulated screw
elderly patients
femoral neck fractures
