本文關(guān)鍵詞： 骨質(zhì)疏松股骨粗隆間骨折 人工股骨頭置換術(shù) PFNA ALP　出處：《中華腫瘤防治雜志》2016年S1期 　論文類型：期刊論文

【摘要】：目的探討人工股骨頭置換術(shù)與內(nèi)固定治療高齡骨質(zhì)疏松股骨粗隆間骨折患者的臨床效果。方法選取2013-01-2015-01廊坊市第四人民醫(yī)院收治的高齡骨質(zhì)疏松股骨粗隆間骨折患者60例為研究對象,按入院時間分為PFNA治療組、ALP治療組及人工髖關(guān)節(jié)置換術(shù)組,觀察3組患者手術(shù)時間、術(shù)中出血量、愈合時間、住院時間,以及治療總有效率、并發(fā)癥發(fā)生率。結(jié)果 PFNA治療組及ALP治療組療效明顯優(yōu)于對照組,差異有統(tǒng)計學(xué)意義,P0.05;FFNA治療組、ALP治療組手術(shù)時間、術(shù)中出血量、愈合時間、住院時間及并發(fā)癥發(fā)生率明顯優(yōu)于人工髖關(guān)節(jié)置換術(shù)組,差異有統(tǒng)計學(xué)意義,P0.05。結(jié)論在高齡骨質(zhì)疏松股骨粗隆間骨折的治療上,PFNA、人工髖關(guān)節(jié)置換術(shù)療效優(yōu)于ALP,PFNA創(chuàng)傷小、出血量少及愈合時間短,人工髖關(guān)節(jié)置換術(shù)并發(fā)生少,可根據(jù)患者情況合理選擇。
[Abstract]:Objective to investigate the clinical effect of artificial femoral head replacement and internal fixation in the treatment of senile patients with femoral intertrochanteric fracture. Sixty elderly patients with osteoporotic intertrochanteric fracture of femur were studied. According to the admission time, the patients were divided into PFNA treatment group and artificial hip replacement group. The operation time, intraoperative blood loss, healing time, hospitalization time and total effective rate were observed. Results the effect of PFNA group and ALP group was significantly better than that of control group (P 0.05). The operative time, intraoperative blood loss, healing time, hospitalization time and incidence of complications in the FFNA group were significantly better than those in the artificial hip replacement group (P < 0.05). Conclusion in the treatment of osteoporotic intertrochanteric fracture of femur, the effect of artificial hip replacement is better than that of ALP with less trauma, less bleeding and shorter healing time. Artificial hip arthroplasty has less occurrence and can be reasonably selected according to the patient's condition.
【作者單位】： 廊坊市第四人民醫(yī)院;
【分類號】：R687.3;R580
【正文快照】： 中華腫瘤防治雜志,2016,23(S1):216-217隨著經(jīng)濟社會的快速發(fā)展,人們生活工作方式的不斷改變,以及人口老齡化社會的加劇,老年群體股骨粗隆間骨折的發(fā)病率呈現(xiàn)逐年上升態(tài)勢[1]。由于老年人各個臟器功能嚴(yán)重退化,臨床治療風(fēng)險較多,而給予長期的保守治療,臨床效果并不理想,且可能

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