髋关节置换术应用于股骨颈骨折治疗效果分析.docVIP

髋关节置换术应用于股骨颈骨折治疗效果分析 　　[摘要] 目的 探讨股骨颈骨折患者应用髋关节置换术进行治疗的临床效果。方法 整群选取该院2013年6月―2014年6月收治的152例股骨颈骨折患者为研究对象，将其随机分为两组，各76例患者，对照组和观察组患者分别采用切开复位内固定治疗和髋关节置换术治疗，比较两组患者的治疗效果。结果 观察组患者的优良率为93.42%，明显高于对照组患者的75.00%（P0.05）。与对照组患者相比，观察组患者的下床活动时间、术中出血量及手术时间明显少于对照组患者偏少（P0.01）。观察组和对照组患者的并发症发生率分别为6.58%和17.11%，观察组明显偏低（P0.05）。结论股骨颈骨折患者应用髋关节置换术进行治疗，效果安全可靠。 　　[关键词] 髋关节置换术；切开复位内固定；股骨颈骨折 　　[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742（2015）12（c）-0041-03 　　Effect of Hip Replacement for the Treatment of Femoral Neck Fracture 　　JIANG Wei 　　Department of Orthopedics， Laixi People’s Hospital， Laixi， Shandong Province， 266600 China 　　[Abstract] Objective To investigate the clinical effect of hip replacement for the treatment of femoral neck fracture. Methods 152 cases with femoral neck fracture admitted in our hospital from June 2013 to June 2014 were selected as the subjects and randomly divided into two groups， with 76 cases in each. The control group were treated by open reduction and internal fixation， while the observation group were treated by hip replacement. And the treatment effect of the two groups was compared. Results The excellent and good treatment effective rate was much higher in the observation group than that in the control group （93.42% vs 75.00%） （P0.05）. Compared with the control group， the observation group had much earlier ambulation time， obviously less intraoperative blood loss and significantly shorter duration of procedure （P0.01）. The incidence of complications was significantly lower in the observation group than that in the control group （6.58% vs 17.11%） （P0.05）. Conclusion Hip replacement is effective， safe and reliable for the treatment of femoral neck fracture. 　　[Key words] Hip replacement； Open reduction and internal fixation； Femoral neck fracture 　　股骨颈骨折是是临床上老年人常见的骨折类型之一，对患者的生活和工作造成了严重影响。随着人的寿命延长，尤其随着人口老龄化，其发病率日渐增高，已成为严重的社会问题。临床上，为股骨颈骨折患者选择合适的治疗方法，对患者的后期康复具有直接的影响[1]。该研究整群选取该院2013年6月―2014年6月收治的152例股骨颈骨折患者为研究对象，将其随机分为两组，各76例患者，对照组和观察组患者分别采用切开复位内固定治疗和髋关节置换术治疗，探