人工股骨头置换术治疗老年股骨转子间骨折可行性分析.docVIP

人工股骨头置换术治疗老年股骨转子间骨折的可行性分析 　　【摘要】 目的 探究人工股骨?^置换术（FHR）治疗老年股骨转子间骨折的的临床效果。方法 60例老年股骨转子间骨折患者按照随机数字法分为对照组和实验组， 各30例。对照组给予股骨近端防旋髓内钉（PFNA）治疗， 实验组给予人工股骨头置换术治疗。对比两组患者围手术期一般指标、髋关节功能的Harris评分及不良反应发生情况。结果 两组患者手术时间及住院时间比较差异无统计学意义（P0.05）；对照组患者术中出血量显著少于实验组， 但实验组下地负重时间显著早于对照组， 两组比较差异具有统计学意义（P0.05）；术后6个月实验组患者Harris评分（85.67±11.58）分， 显著高于对照组（68.51±8.21）分， 差异具有统计学意义（P0.05）。实验组患者不良反应发生率为3.33%， 显著低于对照组的16.67%， 差异具有统计学意义（P0.05）。结论 老年股骨转子间骨折患者选择人工股骨头置换术可使患者下地负重时间提前， 提高患者髋关节功能， 降低患者不良反应发生率， 对患者康复有积极的促进作用， 值得在临床上推广使用。 　　【关键词】 股骨转子间骨折；人工股骨头置换术；股骨近端防旋髓内钉；Harris评分 　　DOI：10.14163/j.cnki.11-5547/r.2017.05.015 　　Analysis of feasibility by artificial femoral head replacement in the treatment of senile intertrochanteric fracture WU Yang. Department of Orthopedics， Guangdong Boluo County People’s Hospital， Huizhou 516100， China 　　【Abstract】 Objective To investigate clinical effect by artificial femoral head replacement （FHR） in the treatment of senile intertrochanteric fracture. Methods A total of 60 senile intertrochanteric fracture patients were divided by random number table into control group and experimental group， with 30 cases in each group. The control group received proximal femoral nail anti-rotation （PFNA） for treatment， and the experimental group received artificial femoral head replacement for treatment. Comparison was made on general perioperative index， hip joint function Harris score， adverse reactions between the two groups. Results There was no statistically significant difference of operation time and hospital stay time between the two groups （P0.05）. The control group had obviously less intraoperative bleeding volume than the experimental group， while the experimental group had much earlier off-bed weight bearing time than the control group， and their difference had statistical significance （P0.05）. In 6 months after operation， the experimental group had obviously higher Harris score as （85.67±11.58） points 　　than （68.51±8.21） points in the control group， and their differenc