首页|全髋置换术和人工股骨头置换术治疗老年股骨颈骨折的疗效比较

全髋置换术和人工股骨头置换术治疗老年股骨颈骨折的疗效比较

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目的 对比老年股骨颈骨折(FNF)实施人工股骨头置换术(AFHR)与全髋置换术的疗效.方法 选取2021年1月—2023年1月本院收治的80例老年FNF患者为研究对象,采用电脑盲选法分为参照组和干预组,每组40例.其中,参照组采用AFHR,干预组采用全髋置换术,浅析组间总疗效与手术相关指标、关节功能恢复、并发症发生率等各项情况.结果 干预组总疗效相较于参照组更高(P<0.05);两组住院费用及时间相比,差异无统计学意义(P>0.05);干预组术后引流量与术中出血量相较于参照组均偏多,手术时间偏长(P<0.05).术前,两组HHS髋关节评分相比,差异无统计学意义(P>0.05);术后,干预组HHS髋关节评分高于参照组(P<0.05).干预组并发症发生率与参照组相对比偏低(P<0.05).结论 全髋置换术治疗老年NFN患者较AFHR优势更高,AFHR术后引流量与术中出血量少,而全髋置换术治疗能够在强化临床整体疗效的同时,改善患者髋关节功能,降低并发症发生率,远期疗效显著,值得推广与应用.
Curative Effect Comparison of Total Hip Replacement and Artificial Femoral Head Replacement in Treatment of Elderly Femoral Neck Fractures
Objective To compare the actual effect of artificial femoral head replacement (AFHR) and total hip replacement for elderly patients with femoral neck fractures (FNF). Methods The paper chose elderly patients with FNF as research subjects,with a total samples of 80,included from January 2021 to March 2023,who were equally divided into the control group (treated with AFHR) and the intervention group (with total hip replacement surgery) with computer blind selection method,with an average of 40 cases in each group. The overall effect,surgical related indicators,joint function recovery,incidence of complications,and other factors were analyzed between the groups. Results The total curative effect of the intervention group (95.00%) was higher than the reference group (80.00%),P<0.05. There was no comparability in hospitalization costs and length of stay between two groups,P>0.05. The postoperative drainage volume and intraoperative bleeding volume of the intervention group was higher than the reference group,and the surgical time was longer,P<0.05. There was no comparability in preoperative scores between two groups,P>0.05. The postoperative HHS hip joint scores of the intervention group were higher than the reference group,P<0.05. Incidence of complications in the intervention group (5.00%) was relatively lower than the reference group (22.50%),P<0.05. Conclusion Total hip replacement surgery can achieve higher advantages than AFHR for elderly NFN patients. The former has shorter hospitalization and surgical time,less postoperative drainage and intraoperative bleeding,and lower cost. Total hip replacement surgery can enhance the overall clinical effect,improve hip joint function,reduce incidence of complications,with significant long-term effect,which is worthy of promotion and application.

Total hip replacement surgeryArtificial femoral headFemoral neck fractureElderly patientsJoint function

晏显锋、高华

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安康市汉滨区中医医院骨外科,陕西 安康 725000

常州市武进中医医院骨伤科,江苏 常州 213000

全髋置换术 人工股骨头 股骨颈骨折 老年患者 关节功能

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(27)