人工股骨头置换术对高龄股骨粗隆间骨折疗效评价.docx

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人工股骨头置换术对高龄股骨粗隆间骨折疗效评价

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张大威

[摘要]目的探討高龄股骨粗隆间骨折患者使用人工股骨头置换术治疗的临床效果。方法选取2014年1月～2019年12月我院收治的50例高龄股骨粗隆间骨折患者作为临床研究对象，分为置换组与股骨近端防旋髓内钉内固定术（PFNA）组。置换组患者采用人工股骨头置换术治疗，PFNA组患者使用股骨近端防旋髓内钉内固定术（PFNA）治疗，对比两组围术期相关指标（手术时间、术中出血量、术后下地部分负重时间）及手术后并发症发生情况，术后1个月、3个月、6个月随访观察两组患者的Harris评分情况。结果两组手术时间和术中出血量比较，差异无统计学意义（P0.05），置换组患者术后下地部分负重时间明显短于PFNA组（P0.05）。两组患者术后6个月内Harris评分显著提高（P0.05），置换组术后1个月和3个月Harris评分均高于PFNA组（P0.05）。结论人工股骨头置换术治疗高龄股骨粗隆间骨折有利于患者较早的下床活动，促进关节功能恢复。

[关键词]人工股骨头置换术;高龄;股骨粗隆间骨折;PFNA内固定

[]R687.3?????[]B?????[]1673-9701（2020）29-0082-03

[Abstract]ObjectiveToexploretheclinicaleffectofartificialfemoralheadreplacementintheelderlypatientswithfemoralintertrochantericfractures.MethodsAtotalof50elderlypatientswithfemoralintertrochantericfractureswhowereadmittedtoourhospitalbetweenJanuary2014andDecember2019wereselectedastheclinicalresearchsubjects，andwereassignedtothereplacementgroupandtheproximalfemoralnailantirotationgroup（PFNA）.Patientsinthereplacementgroupweretreatedwithartificialfemoralheadreplacement.PatientsinthePFNAgroupweretreatedwithPFNA.Thedurationofoperation，intraoperativebloodloss，partweightbearingtimeafteroperation，complicationsandHarrisscoresat1month，3months，and6monthswerecomparedbetweenthetwogroups.ResultsTherewasnosignificantdifferenceinthedurationofoperationandintraoperativebloodlossbetweenthetwogroups（P0.05）.ThepartweightbearingtimeafteroperationinthereplacementgroupwassignificantlyshorterthanthatinthePFNAgroup（P0.05）.TheHarrisscoreinbothgroupwereincreasedsignificantlywithin6monthsaftersurgery（P0.05）.ConclusionArtificialfemoralheadreplacementinthetreatmentofelderlyfemoralintertrochantericfracturesisbeneficialforpatientstogetoutofbedearlierandpromotejointfunctionrecovery.

[Keywords]Artificialfemoralheadreplacement;Theelderly;Femoralintertro