生物型全髋关节置换治疗股骨头坏死和股骨颈骨折临床疗效及安全性分析.docVIP

生物型全髋关节置换治疗股骨头坏死和股骨颈骨折临床疗效及安全性分析 　　【摘要】 目的：探讨生物型全髋关节置换术治疗股骨头坏死和股骨颈骨折的临床疗效及安全性。方法：按照随机数字表法将2010年2月-2012年2月本院收治的股骨头坏死和股骨颈骨折患者分为两组，治疗组行生物型全髋关节置换术，对照组行人工股骨头置换术，比较两组的临床疗效及安全性。结果：治疗组手术时间、术中出血量大于对照组，术后引流量、住院时间小于对照组，比较差异有统计学意义（P0.05）；两组患者随访时间16～24个月，平均（20.7±2.5）个月，治疗组Harris评分优于对照组，比较差异有统计学意义（P0.05）；两组的术后并发症有伤口脂肪液化、深静脉栓塞、假体脱位、伤口感染、肺部感染等，治疗组假体脱位、伤口感染发生率低于对照组，比较差异有统计学意义（P0.05）；两组其他术后并发症比较差异无统计学意义。结论：生物型全髋关节置换术治疗股骨头坏死和股骨颈骨折有远期疗效好，安全性高，患者功能恢复快等特点，临床有重要参考价值。 　　【关键词】 生物型； 全髋关节置换术； 股骨头坏死； 股骨颈骨折 　　Clinical Efficacy and Safety of Biotype Total Hip Replacement in Treatment of Patients with Femoral Head Necrosis and Femoral Neck Fracture/LUO Jing-tao.//Medical Innovation of China，2015，12（16）：044-047 　　【Abstract】 Objective：To investigate the clinical efficacy and safety of biotype total hip replacement for patients with femoral head necrosis and femoral neck fracture.Method：Cases with femoral head necrosis and femoral neck fracture in our hospital 2010 February to 2012 February were divided into two groups according to the random number table method，treatment group underwent biotype total hip replacement，control group underwent artificial femoral head replacement，compared with the clinical efficacy and safety of two groups.Result：Operation time，intra-operative bleeding volume of treatment group were larger than those of control group，postoperative drainage，hospitalization time less than those of control group，the difference was statistically significant （P0.05）.The two group patients were followed up for 16-24 months （20.7±2.5） months，the Harris score of treatment group was superior to that of control group，the difference had statistical significance （P0.05），postoperative complications of the two groups included wound fat liquefaction，deep vein thrombosis，prosthesis dislocation，infection，pulmonary infection.The incidence of prosthesis dislocation and wound infection was lower than that of control group，the difference was statistically significant （P0.05），there was no significant di