摘要
目的比较全髋关节置换术(THA)与人工股骨头置换术(BHA)治疗股骨颈骨折的临床疗效。方法随机选择2011年5月至2012年5月我院收治的股骨颈骨折患者90例,按随机数字表将其分为两组,每组均为45例。THA组行全髋关节置换术治疗,BHA组行人工股骨头置换术。观察和比较两组的手术时间、出血量、住院时间、术后关节功能Harris评分、SF-36生活质量评分及不良反应。结果 THA组和BHA组髋关节Harris优良率分别达到82.22%和71.11%,THA组优良率显著高于BHA组(P<0.05);BHA组手术出血量、手术时间以及住院时间均低于THA组(P<0.05);THA组生活质量总评分(GH)为(78.90±6.04)分,高于BHA组的(73.02±5.32)分(P<0.05);THA组患者的再手术率为2.22%,BHA组为6.67%,两组比较差异有统计学意义(P<0.05)。结论全髋关节置换术与人工股骨头置换术对股骨颈骨折疗效显著,但各有优缺点,应根据股骨颈骨折的具体情况选择相应的手术方法。
Objective To compare the clinical effective between total hip arthroplasty and bipolar hemiar- throplasty arthroplasty in 90 cases of femoral neck fracture. Methods Ninety patients with femoral neck fracture hos- pitalized in our hospital from May 2011 to May 2012 were selected and randomly divided into two groups, each with 45 cases, which were treated with total hip arthroplasty （the THA group） and bipolar hemiarthroplasty bipolar （the BHA group）, respectively. The average operation time, the loss amount of blood, the length of hospital stay and the Harris score, SF-36 score and the rate of adverse reaction among two groups were compared and analyzed after treat- ment. Results The hip Harris excellent and good rate of the THA group and BHA group were 82.22% and 7 I. 11%, respectively. The excellent and good rate of the THA group was significantly higher than that in the BHA group （P〈 0.05）. The volume of operation bleeding, the operation time and the length of hospital stay in the BHA group were all significantly lower than that of the THA group （P〈0.05）. The score of quality life in the THA group was （78.90±6.04）, significantly higher than that of the BHA group （73.02±5.32）, P〈0.05. The reoperation rate in the THA group was 2.22%, significantly lower than that in the BHA group of 3.33% （P〈0.05）. Conclusion Its has different advantages and disadvantages among bipolar hemiarthroplasty bipolar and total hip arthroplasty with traditional hollow compres- sion and screw internal fixation of femoral neck fractures in the elderly. The choices of operation method should be based on the specific circumstances of femoral neck fracture corresponding to the selected operation mode.
出处
《海南医学》
CAS
2013年第9期1290-1292,共3页
Hainan Medical Journal
关键词
临床疗效
股骨颈骨折
全髋关节置换术
人工股骨头置换术
Clinical Effect
Femoral neck fracture
Total hip arthroplasty
Bipolar hemiarthroplasty arthro- plasty
