对比全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的临床疗效.docVIP

精品论文 参考文献 对比全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的临床疗效 [摘 要]目的 探究全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的临床效果。方法 选取我院2015年2月～2016年2月收治的80例股老年股骨颈骨折患者，按照治疗方法的不同将其分为对照组和观察组，各40例，观察组采用全髋关节置换术进行治疗，对照组采用半髋关节置换术进行治疗，比较两组患者治疗效果，术中出血量、术后伤口的引流量情况、手术后的失血量，总输血量，疼痛评分，术后恢复时间，骨头愈合时间，住院时间，手术时间，术后肢体功能恢复情况和术后并发症发生率。结果 观察组患者的总有效率高于对照组，术中出血量、术后伤口的引流量情况、手术后的失血量，总输血量少于对照组，术后恢复时间，骨头愈合时间，住院时间短于对照组，并发症发生情况和疼痛评分低于对照组，术后肢体功能恢复情况优于对照组，手术时间多于对照组，两组差异显著（Plt;0.05），有统计学意义。结论 采用全髋关节置换术治疗股骨颈骨折患者具有较好的长期疗效，为治疗该病患者提供较为突出的临床依据，在临床手术治疗中具有较高的临床价值。 [关键词]全髋关节置换术 半髋关节置换术 老年股骨颈骨折 临床效果 DOI:10.3760/cma.j.issn.0376-2491.2016.36.19 作者单位：644000，四川宜宾，宜宾市第一人民医院 Comparative clinical efficacy of total hip arthroplasty and hemiarthroplasty for the treatment of femoral neck fracture Yang Haihao，Li Wei Zhang， Guangping Abstract：Objective To explore total hip arthroplasty and hemiarthroplasty for the treatment of femoral neck fracture clinical results. Methods in our hospital in February 2015 to 80 cases of femoral neck fracture patients admitted in February 2016, according to the different treatment methods will be divided into a control group and observation group, 40 cases in the observation group were treated with absorbable screws, the control group was cannulated compression screw for treatment, therapeutic effects were compared, blood loss, postoperative wound drainage, the amount of blood loss after surgery, the total volume of blood transfusion, pain scores, postoperative recovery time, the bone healing time, operative time, hospital stay, postoperative recovery of limb function and the incidence of postoperative complications. Results Observation group were higher than the total efficiency, blood loss, drainage, the amount of blood loss after surgery, postoperative wound, the total is less than the control group blood transfusion, postoperative recovery time, the bone healing time, hospitalization time shorter than the control group, the incidence of complications and pain scores than the control group, postoperative re