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全髋关节置换术与半髋关节置换术治疗老年股骨颈骨折比较 被引量:5

Comparison of Total Hip Arthroplasty and Hemiarthroplasty for Femoral Neck Fractures in the Elderly
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摘要 目的研究分析全髋关节置换术与半髋关节置换术治疗老年股骨颈骨折的临床效果。方法选取2013年10月~2015年10月我院收治的老年股骨颈骨折患者86例,随机分为两组,各43例。对照组采用半髋关节置换术治疗,观察组采用全髋关节置换术治疗,对比两组手术情况、术后并发症和Harris关节评分情况。结果观察组手术时间、术中出血量、住院时间与对照组比较,差异不显著(P〉0.05);观察组Harris关节评分优良率和并发症发生率均优于对照组,差异显著(P〈0.05)。结论相比于半髋关节置换术治疗,全髋关节置换术治疗老年股骨颈骨折临床效果更显著,可有效提高治疗优良率,促进恢复。 Objective To research and analyse the clinical effect of total hip arthroplasty and hemiarthroplasty in the femoral neck fracture. Methods 86 cases of elderly patients with femoral neck fracture in our hospital from October 2013 to October 2015,and randomly divided into two groups, 43 cases in each group. The control group was treated by hemiarthroplasty, the treatment group was treated by total hip arthroplasty. To compared the operation situation, postoperative complications and the grade of Harris. Results To compared the time of operation, intraoperatve blood soss and hospital stays of the treatment group and control, there was no statistically significant difference(P〉0.05). The good rate of the grade of Harris and incidence of complications of the treatment was better than the control, there was statistical significance(P〈0.05). Conclusion To compare with the hemiarthroplasty, the femoral neck fracture treated by replacement of total hip with higher clinical effect, that able to improve the good rate of treatment, promote the recovery.
出处 《中国卫生标准管理》 2015年第33期73-74,共2页 China Health Standard Management
关键词 全髋关节置换术 半髋关节置换术 老年 股骨颈骨折 Total hip arthroplasty Hemiarthroplasty Agedness Femoral neck fracture
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