摘要
目的对比分析全髋关节置换术和空心钉内固定术治疗股骨颈骨折的手术效果，旨在为临床治疗方法的选择提供参考依据。方法以2010年1月。2012年1月在我院治疗的62例股骨颈骨折患者为研究对象，其中32例行THR设立为A组，其中男19例，女13例，其余30例均为行空心钉内固定术治疗的股骨颈骨折患者，设立为B组，其中男18例，女12例，对比分析两组患者的平均手术时间、术中平均出血量、术后下地时间、骨折愈合时间、平均住院时间及对手术效果进行评定，并观察发生的并发症情况。结果A组患者的平均手术时间、术中出血量、术后下地活动时间、骨折临床愈合时间及平均住院时间分别与对照组比较，差异具有统计学意义（P〈0．05或P〈0．01）。A组患者术后临床治疗效果显示其总有效率达96．9％，B组的有效率达80％，两组总有效率比较，差异具统计学意义（P〈0．05）。结论全髋置换术治疗股骨颈骨折手术效果明显优于空心钉内固定术，且并发症少，术后患者恢复快，值得推广和应用。
Objective To compare the effect of total hip arthroplasty and cannulated screw fixation in treatment of femoral neck fracture,to provide a reference for clinical treatment methods options. Methods From January 2010 to 2012 in January in our hospital,62 cases of femoral neck fracture patients for the study,of which 32 cases accepted THR established as A group,included 19 males and 13 females,and the remaining 30 cases accepted line hollow screw fixation established as B group,included 18 males and 12 females, the average operative time,mean intraoperative blood loss, postoperative ambulation time, fractures healing time,the average length of stay and the surgical results were evaluated and compared between two groups,and observed the complications. Results The average operative time, blood loss, postoperative ambulation time,fracture healing time and the average hospital stay of A group patients compared with the control group,there were significant differences or extremely significant differences （P 〈 0.05 or P 〈 0.01）. The total effective rate of A group was 96.9%,the effective rate of B group was 80%,total there was a significant difference of the the effective rate between two groups（P 〈 0.05）. Conclusion Total hip arthroplasty for femoral neck fracture surgery is better than cannulated screw fixation,has fewer complications,postoperative patients recover quickly,and it worthy of promotion and application.
出处
《中国医药科学》
2013年第20期168-169,190,共3页
China Medicine And Pharmacy
关键词
股骨颈骨折
全髋关节置换术
空心钉内固定术
并发症
Femoral neck fracture
Total hip arthroplasty
Cannulated screw fixation
Complications
