摘要
[ 摘要 ] 目的 比较全髋关节置换与内固定治疗老年移位型股骨颈骨折的临床效果。方法 选取 2017 年 2 月～ 2019 年 2 月我院收治的 68 例老年移位型股骨颈骨折患者作为研究对象，按照随机数字表法将其分为对比组（ n=34 ）与试验组（ n=34 ）。对比组患者采用内固定治疗，试验组患者采用全髋关节置换术治疗。比较两组患者的术中出血量、手术时间、术后下床活动时间、住院时间，手术前后患者的髋关节 Harris 、日常生活能力（ ADL ）量表、卡氏功能状态（ KPS ）评分，以及术后并发症发生情况。结果 试验组患者的术中出血量多于对比组，手术时间长于对比组，试验组患者术后下床活动时间短于对比组，差异均有统计学意义（ P<0.05 ） ; 两组患者的住院时间比较，差异无统计学意义（ P>0.05 ）。术前，两组患者的髋关节 Harris 、 ADL 量表及 KPS 评分比较，差异均无统计学意义（ P>0.05 ） ; 术后 12 个月，两组患者的 Harris 评分高于本组术前，且试验组患者的 Harris 评分高于对比组，差异有统计学意义（ P<0.05 ） ; 术后，两组患者的 ADL 量表、 KPS 評分均高于本组术前，差异有统计学意义（ P<0.05 ） ; 试验组患者术后的 ADL 量表及 KPS 评分均高于对比组，差异有统计学意义（ P<0.05 ）。试验组患者的并发症总发生率为 8.82% ，低于对比组的 20.59% ，差异有统计学意义（ P<0.05 ）。结论 老年移位型股骨颈骨折患者应用全髋关节置换术病情改善效果及术后功能恢复效果优于内固定治疗。
[ 关键词 ] 全髋关节置换 ; 内固定治疗 ; 老年移位型股骨颈骨折 ; 临床疗效对比分析
[Abstract] Objective To compare the clinical effect of total hip replacement and internal fixation in the treatment of displaced femoral neck fracture in the elderly. Methods from February 2017 to February 2019, 68 elderly patients with displaced femoral neck fracture in our hospital were selected as the study objects. According to the random number table method, they were divided into the control group (n = 34) and the experimental group (n = 34). The patients in the experimental group were treated with total hip replacement. The intraoperative bleeding volume, operation time, time of getting out of bed after operation, hospitalization time, Harris of hip joint, ADL scale, KPS score and postoperative complications were compared between the two groups. Results the blood output of the patients in the experimental group was more than that in the control group, the operation time was longer than that in the control group, and the time of getting out of bed activity of the patients in the experimental group was shorter than that in the control group, the difference was statistically significant (P < 0.05). Before operation, there was no significant difference in Harris, ADL and KPS scores between the two groups (P > 0.05); 12 months after operation, the Harris scores of the two groups were higher than that of the group before operation, and the Harris scores of the experimental group were higher than that of the control group, the difference was statistically significant (P < 0.05); After operation, the ADL scale and KPS score of the two groups were higher than that of the group before operation, the difference was statistically significant (P < 0.05); the ADL scale and KPS score of the experimental group were higher than that of the control group, the difference was statistically significant (P < 0.05). The total incidence of complications in the experimental group was 8.82%, lower than that in the control group (20.59%) (P < 0.05). Conclusion total hip replacement is better than internal fixation in the treatment of displaced femoral neck fracture in the elderly.
出版日期
2020年04月27日（中国期刊网平台首次上网日期，不代表论文的发表时间）
