68例高龄老人股骨颈骨折人工股骨头置换术治疗分析.pdfVIP

蛇 志 Journal of SNAKE(ScienceNAture are KEy to health) 2008年第2O卷第2期 Vo1．20 No．2，2008 68例高龄老人股骨颈骨折人工股骨头置换术治疗分析 杨爱勇，林传松，关钦强，黄 烁，饶明亮，邓炳新 (广东江门市新会区司前镇卫生院，广东江门 529159) [摘要] 目的 探讨高龄老年人股骨颈骨折行人工股骨头置换术治疗的临床效果。 方法 采用我国髋关节置换效果评定标 准，回顾性分析68例高龄老年人股骨颈骨折行人工股骨头置换术的临床资料。 结果 68例患者术后切口均为一期甲级愈 合．随访3～l2个月，优良52例，很好4例，好3例，尚可3例，差2例，4例术后死于冠心病、脑血管意外。 结论 高龄老年人 股骨颈骨折采用人工股骨头置换术治疗是安全、有效的方法。 [关键词] 高龄老人；股骨颈骨折；置换术I治疗分析 [中图分类号]R683．42 [文献标识码] A [文章编号] 1001—5639(2008)02—01l5—02 Treatment Analysis of femoral Neck Fracture Displacement Operation of 68 Cases High—aged Old Man YANG Ai—yong，LIN Chuan-song，GUAN Qin-qiang， HUANG Shuo，RAO Min—liang，DENG ben—xin (Siqianzhen Hospital of Xinhui Jianmen．Jianmen，Guangdong，529159，China) Abstract： 0 ective To explore the treatment effects of artificial femoral head displacement operation for high—aged old man． Methods We adopted our national the effect assess standards for the hip joint displacement．The clinical data of artificial fern— oral head displacement operation were analyzed retr0spectively for the 68 cases of high—aged old man． Results The incision of 68 cases patients all are first best intention．They were followed—up survey for 3～12 months(average 6 months)．Their 52 cases are best good，4 cases are good，3 cases are better good，3 cases are feasible，2 cases are not good，4 cases died of coronary disease and／or cerebrovascular accident after operation． Conclusion The femoral neck fracture for high—aged old man adopted the treatment of artificial femora1 head disp1acement operation which is fl simple．safe and effective method． Key words： high—aged old man}femoral neck fracture~displacement}treatment analysis 股骨颈骨折好发于老年人L】]，是老年人常见病。随着社 口，切开后关节囊取出股骨头，测量直径大小，以备选用人工 会人口的老龄