系统医学2024,Vol.9Issue(3) :112-115.DOI:10.19368/j.cnki.2096-1782.2024.03.112

全髋关节置换术与半髋关节置换术治疗老年股骨颈骨折的疗效比较

Comparison of Total Hip Replacement and Semi-hip Replacement in the Treatment of Femoral Neck Fracture in Elderly Patients

王振宇 吴斌 鞠德泉
系统医学2024,Vol.9Issue(3) :112-115.DOI:10.19368/j.cnki.2096-1782.2024.03.112

全髋关节置换术与半髋关节置换术治疗老年股骨颈骨折的疗效比较

Comparison of Total Hip Replacement and Semi-hip Replacement in the Treatment of Femoral Neck Fracture in Elderly Patients

王振宇 1吴斌 1鞠德泉1
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作者信息

  • 1. 泰兴市第三人民医院骨伤科,江苏泰兴 225400
  • 折叠

摘要

目的 探讨老年股骨颈骨折患者分别采用全髋关节置换术与半髋关节置换术治疗的效果差异.方法 选择2019年1月—2022年12月泰兴市第三人民医院进行手术治疗的68例股骨颈骨折老年患者,以随机数表法分为对照组(半髋关节置换术)与观察组(全髋关节置换术),各34例.对比两组手术与术后恢复指标、髋关节功能恢复情况以及并发症发生状况.结果 观察组手术时间(115.73±10.73)min长于对照组,术中出血量(468.62±41.59)mL多于对照组,差异有统计学意义(t=7.552、22.123,P均<0.05).术后6个月、12个月时观察组患者Harris评分均高于对照组,差异有统计学意义(P<0.05).观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论 与半髋关节置换术比较,全髋关节置换术治疗时间较长且出血量较多,但患者的术后髋关节恢复更佳、并发症更少.

Abstract

Objective To investigate the effects of total hip replacement and semi-hip replacement in elderly patients with femoral neck fracture.Methods A total of sixty-eight elderly patients with femoral neck fracture who underwent surgical treatment in Taixing Third People's Hospital from January 2019 to December 2022 were selected and divided into control group(semi-hip replacement)and observation group(total hip replacement)with thirty-four cases in each group by random number table.The indexes of postoperative recovery,functional recovery of hip joint and the occur-rence of complications between two groups were compared.Results The operation time of the observation group was(115.73±10.73)min longer than that of the control group,and the intraoperative blood loss was(468.62±41.59)mL higher than that of the control group,and the differences were statistically significant(t=7.552,22.123,both P<0.05).The Harris score of observation group was higher than that of control group at 6 months and 12 months after operation,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Compared with semi-hip replacement,total hip replacement has a longer treatment time and more blood loss,but patients have better hip recovery and fewer complications.

关键词

股骨颈骨折/全髋关节置换术/半髋关节置换术/髋关节功能/并发症

Key words

Femoral neck fracture/Total hip replacement/Semi-hip replacement/Hip function/Complication

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出版年

2024
系统医学

系统医学

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参考文献量15
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