人工髋关节置换术治疗老年股骨颈骨折45例.docVIP

精品论文 参考文献 人工髋关节置换术治疗老年股骨颈骨折45例 沈伟辉(宝钢集团广东韶关钢铁有限公司医院骨科 广东韶关 512123) 【摘要】 目的：探讨人工髋关节置换术治疗老年股骨颈骨折患者的疗效。方法：90例老年股骨颈骨折患者，分成对照组和观察组。对照组给予传统内固定术。观察组给予人工髋关节置换术。结果：观察组手术时间、术后卧床时间明显低于对照组，差异有统计学意义(Plt;0.01)。观察组优良率91.11%高于对照组优良率71.11%，差异有统计学意义(Plt;0.05)。结论：人工髋关节置换术治疗股骨颈骨折患者疗效佳，能有效改善患者术后生活质量。 【关键词】 人工髋关节置换术 老年股骨颈骨折 内固定术 【中图分类号】R687 【文献标识码】A 【文章编号】2095-1752（2013）12-0026-01 Study of artificial hip replacement operation in treatment of 45 cases of femoral neck fractures in the elderly SHEN Wei-hui (Department of orthopedics, Guangdong Hospital of Baoshan Iron and Steel Group Shaoguan Iron amp; Steel Co., Shaoguan, Guangdong 512123, China) 【Abstract】 Objective：To discussion of artificial hip replacement operation in treatment of elderly patients with femoral neck fractures. Method：90 cases of elderly patients with femoral neck fracture, divided into the observation group and the control group. Control group: the traditional internal fixation operation. The observation group: artificial hip joint replacement operation. Results：Operation time, time in bed after operation of the observation group less than in the control group, the difference was statistically significant (Plt;0.01). In observation group, the excellent and good rate was 91.11% higher than 71.11% in the control group, the difference was statistically significant (Plt;0.05).Conclusion：Artificial hip replacement operation for the treatment of femoral neck fractures in patients with good curative effect, can effectively improve the quality of life of patients after operation. 【Keywords】 artificial hip replacement operation femoral neck fracture internal fixation operation 股骨颈骨折是指由于骨质疏松、老年人髋周肌肉群退变、反应迟钝或遭受严重外伤所致的股骨颈断裂[1]。在本次研究中，笔者采用人工髋关节置换术治疗了45例老年股骨颈骨折患者，结果取得较佳疗效。现报道如下。 1 资料与方法 1.1临床资料 选择2004-06/2012-06在宝钢集团广东韶关钢铁有限公司医院骨科就诊的老年股骨颈骨折患者90例(男41例/女49例)，年龄60～82岁，分成对照组和观察组。对照组45例(男20例/女25例)，年龄70.3plusmn;4.0岁；骨折部位：头下型53.33%(24/45)，经颈型44.44%(20/45