合并糖尿病高龄股骨颈骨折的手术治疗效果评估及研究.docVIP

合并糖尿病高龄股骨颈骨折的手术治疗效果评估及研究 　　[摘要] 目的 对合并糖尿病高龄股骨颈骨折患者的手术措施及其治疗效果进行评估、研究。方法 选择2014年5月―2015年8月在该院接受治疗的合并糖尿病高龄股骨颈骨折患者76例，按照手术方式的不同分为A、B两组，每组38例患者。A组患者选择空心钉内固定术治疗，B组患者采用全髋关节置换术治疗，统计两组患者手术时间、术中出血量、术后活动时间、并发症发生率和死亡率及治疗后远期髋关节功能评价结果。结果 A组患者的手术时间少于B组，但两组对比P0.05，差异无统计学意义；A组患者术中出血量明显少于B组，但术后活动时间A组明显长于B组，两组对比P0.05，数据差异无统计学意义；A组患者治疗后远期有效率为63.2%；B组患者治疗后远期有效率为76.3%；B组患者的远期髋关节功能评价结果明显好于A组，P0.05，数据差异有统计学意义。 结论 对身体素质较好、骨质疏松严重且对预后功能具有较高期望的患者可选取全髋关节置换术治疗，术后功能恢复快且疗效持续时间长；对于身体较为虚弱、手术耐受力低对治疗后远期功能无较高期望的患者可选取空心钉内固定术治疗，手术创伤小，安全性更高。[关键词] 糖尿病合并；高龄；股骨颈骨折；手术治疗；疗效对比[中图分类号] R25 　　[文献标识码] A 　　[文章编号] 1672-4062（2016）03（a）-0090-03Evaluation and Study of Surgical Treatment of Femoral Neck Fractures in Elderly Patients with Diabetes MellitusHONG YangSurgical Staff Jinshantun District Hospital of Yichun City，Yichun，Heilongjiang Province，153026 China[Abstract] Objective To evaluate the surgical treatment and the effect of the treatment of the elderly patients with femoral neck fracture in the elderly patients with diabetes mellitus. Methods 76 patients with femoral neck fracture in our hospital from May 2014 to August 2015 in our hospital were divided into two groups， B， A， 38 patients in each group. The patients in A group were treated with hollow screw internal fixation， and the patients in group B were treated with total hip replacement. The operation time， bleeding volume， postoperative activity time， complication rate and mortality rate were analyzed. Results The operation time of A group was less than that of B group， but the difference was not statistically significant between P group and B group， but 0.05 in A group， 23.7% in A group， two in B group， 7.9% in A group， 0.05 in B group， 0.05 in B group， and 76.3% in A group， while in B group， P group was significantly better than P. Conclusion The quality of the body is good， osteoporosis is serious， and the prognosis of patients with high expectations of patients with total hip replacement surgery， postoperative functional recovery and long dura