發(fā)布時(shí)間：2018-04-08 13:06

  本文選題：股骨頸骨折　切入點(diǎn)：骨水泥型假體　出處：《中國老年學(xué)雜志》2017年08期

【摘要】：目的探討骨水泥型與生物型假體髖關(guān)節(jié)置換術(shù)治療不穩(wěn)定型老年股骨頸骨折的療效。方法假體髖關(guān)節(jié)置換術(shù)治療的不穩(wěn)定型老年股骨頸骨折患者78例,按照隨機(jī)數(shù)字表法分為研究組和對(duì)照組各39例;研究組采用骨水泥型假體髖關(guān)節(jié)置換術(shù)治療,對(duì)照組采用生物型假體髖關(guān)節(jié)置換術(shù)治療,觀察兩組臨床療效,術(shù)后隨訪6個(gè)月患者髖關(guān)節(jié)脫位和Harris評(píng)分。結(jié)果術(shù)后1、6個(gè)月研究組優(yōu)良率顯著高于對(duì)照組(P0.05);研究組手術(shù)時(shí)間和術(shù)中出血量均高于對(duì)照組,但差異無統(tǒng)計(jì)學(xué)意義(P0.05),住院時(shí)間短于對(duì)照組(P0.05);兩組術(shù)后1、6個(gè)月髖關(guān)節(jié)Harris評(píng)分均高于術(shù)前,且術(shù)后6個(gè)月高于術(shù)后1個(gè)月,研究組顯著高于對(duì)照組(P0.05);兩組不良事件發(fā)生率比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論骨水泥型假體髖關(guān)節(jié)置換術(shù)治療不穩(wěn)定型老年股骨頸骨折患者后早期髖關(guān)節(jié)功能恢復(fù)、近期療效顯著優(yōu)于生物型假體髖關(guān)節(jié)置換術(shù)。
[Abstract]:Objective to investigate the effect of hip arthroplasty with bone cement and biological prosthesis for unstable femoral neck fracture.Methods Seventy-eight patients with unstable femoral neck fracture treated by hip prosthesis replacement were divided into study group (n = 39) and control group (n = 39).The patients in the control group were treated with bioprosthetic hip arthroplasty. The clinical efficacy of the two groups was observed. The patients were followed up for 6 months with dislocation of the hip and Harris score.Results the excellent and good rate of the study group was significantly higher than that of the control group at 1 and 6 months after operation, and the operative time and the amount of intraoperative bleeding in the study group were higher than those in the control group.However, the difference was not statistically significant (P 0.05), the hospitalization time was shorter than that in the control group (P 0.05), the Harris score of hip joint in the two groups was higher at 1 and 6 months after operation than that before operation, and at 6 months after operation was higher than that at 1 month after operation.The incidence of adverse events in the study group was significantly higher than that in the control group (P 0.05), and there was no significant difference in the incidence of adverse events between the two groups.Conclusion the early recovery of hip joint function in the elderly patients with unstable femoral neck fracture treated by bone cement prosthesis hip arthroplasty is significantly better than that of biological prosthesis hip arthroplasty.
【作者單位】： 貴州醫(yī)科大學(xué)附屬醫(yī)院創(chuàng)傷骨科;貴州醫(yī)科大學(xué)附屬醫(yī)院急診醫(yī)學(xué)科;
【分類號(hào)】：R687.4

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