摘要
目的对比全髋关节置换术(THA)与半髋关节置换术(HA)对老年股骨颈骨折患者的治疗效果。方法选取2019年1月-2022年1月我院收治的股骨颈骨折的老年患者68例,按照随机数字表法将其分为对照组和观察组,每组各34例。对照组行HA,观察组行THA。对比两组患者临床指标变化、并发症发生率以及髋关节功能。结果观察组手术时间与对照组相比较,差异有统计学意义(P<0.05);观察组术中出血量与对照组相比较,差异有统计学意义(P<0.05);观察组术后引流量与对照组相比较,差异有统计学意义(P<0.05)。两组肺部感染、深静脉血栓发生率对比无显著差异(P>0.05);观察组慢性疼痛、脱位、翻修率与对照组相比较,差异有统计学意义(P<0.05)。整体分析两组患者HHS评分组间、时间、交互差异存在显著差异。组间对比,术后1周,两组评分对比无显著差异(P<0.05),观察组术后1月、术后6月HHS评分与对照组相比较,差异有统计学意义(P<0.05)。结论THA与HA均是治疗股骨颈骨折的有效方法,HA可减少术后脱位风险,而THA的髋臼侵蚀和进一步翻修手术的风险较低。
Objective:To compare the effect of total hip replacement(THR)and hemiarthroplasty(HA)in elderly patients with femoral neck fracture.Methods:A total of 68 elderly with femoral neck fractures admitted to our hospital from January 2019 to January 2022 were selected,and were divided into a control group and an experimental group using a random method based on numerical tables,with 34 cases in each group.The control group received HA treatmert,whereas the experimental group received THA treatment.The study monitored the shifts in clinical parameters,the rate of adverse events,and the functionality of the hip joint in each group.Results:The operation time in the observation group was compared with that in the control group,with statistically significant differences(p<0.05);intraoperative bleeding in the observation group was compared with that in the control group,with statistically significant differences(p<0.05);The postoperative drainage volume in the observation group was compared with that in the control group,with statistically significant difference(p<0.05).There was no significant difference in the comparison of the incidence of pulmonary infection and deep vein thrombosis between the two groups(p>0.05);chronic pain,subluxation,and the revision rate in the observation group was compared with those in the control group,with statistically significant differences(p<0.05).Overall,HHS scores of patients in the two groups differed significantly between groups,time,and interaction.In the comparison between groups,at 1 week after surgery,there was no significant difference in the comparison of scores between the two groups(p<0.05),and the HHS scores in the observation group at 1 month after surgery and at 6 months after surgery were compared with those in the control group,with statistically significant differences(p<0.05).Conclusion:Both THA and HA are effective methods for the treatment of femoral neck fractures.HA can reduce the risk of postoperative dislocation,while THA has a lower risk of acetabular erosion and further revision surgery.
作者
刘月耀
LIU Yue-yao(Yihuang County First People's Hospital,Fuzhou Jiangxi 344400,China)
出处
《透析与人工器官》
2024年第4期25-27,共3页
Chinese Journal of Dialysis and Artificial Organs
关键词
股骨颈骨折
全髋关节置换术
并发症
髋关节功能
femoral neck fracture
total hip replacement
complications
hip joint function
