摘要
目的:观察股骨假体全髋关节置换术在老年股骨颈骨折中的效果。方法:选取2023年6月~2024年6月本院治疗的老年股骨颈骨折患者100例,根据手术方法差异分为观察组和对照组各50例。对照组采用常规手术,观察组采用股骨假体全髋关节置换术,观察两组效果。结果:观察组手术时间、术中出血量、住院时间均高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05);术后1周~3个月,观察组血清骨形态发生蛋白-2、碱性磷酸酶低于对照组(P<0.05)。结论:实施股骨假体全髋关节置换术治疗后,尽管其手术耗时较长、术中出血量较大、住院时间较长,但该手术方式降低了并发症的发生率,从而有效提升了治疗效果。
Objective:To observe the effect of total hip arthroplasty with femoral prosthesis in elderly patients with femoral neck fractures.Methods:100 elderly patients with femoral neck fractures treated in our hospital from June 2023 to June 2024 were selected and divided into an observation group and a control group,with 50 cases in each group,based on differences in surgical methods.The control group underwent conventional surgery,while the observation group underwent total hip arthroplasty with femoral prosthesis.The effects of both groups were observed.Results:The observation group had higher surgical duration,intraoperative blood loss,and hospital stay than the control group(P<0.05);The incidence of complications in the observation group was lower than that in the control group(P<0.05);From 1 week to 3 months after surgery,the serum levels of bone morphogenetic protein-2(BMP-2)and alkaline phosphatase(ALP)in the observation group were lower than those in the control group(P<0.05).Conclusion:After implementing total hip arthroplasty with femoral prosthesis,although the surgery is time-consuming,the intraoperative bleeding is large,and the hospitalization time is long,this surgical method reduces the incidence of complications and effectively improves the treatment effect.
作者
吴进
WU Jin(Department of Orthopedics,Yanshan People’s Hospital,Jiangxi Shangrao 334000)
出处
《中国医疗器械信息》
2026年第3期126-128,共3页
China Medical Device Information
关键词
股骨假体
全髋关节置换术
老年股骨颈骨折
并发症
femoral prosthesis
total hip arthroplasty
femoral neck fractures in the elderly
complications