文章摘要
张平方,王鑫,张宇,张辉,马蒲阳,何杨,王建民,郭启,赵宇宙.人工股骨头置换治疗高龄不稳定型股骨粗隆间骨折的效果[J].中国临床保健杂志,2019,22(4):519-521.
人工股骨头置换治疗高龄不稳定型股骨粗隆间骨折的效果
Treatment of unstable intertrochanteric fracture of femur with artificial femoral head replacement
投稿时间:2018-10-22  
DOI:10.3969/J.issn.1672-6790.2019.04.023
中文关键词: 关节成形术,置换,髋  股骨骨折  假体植入  骨折固定术,髓内  老年人 DOI:10.3969/J.issn.1672-6790.2019.04.023Treatment of unstable intertrochanteric fracture of femur with artificial femoral head replacement Zhang Pingfang,Wang Xin,Zhang Yu,Zhang Hui,Ma Puyang,He Yang,Wang Jianmin,Guo Qi,Zhao Yuzhou
英文关键词: Arthroplasty,replacement,hip  Femoral fractures  Prosthesis implantation  Fracture fixation,intramedullary  Aged 〖FL
基金项目:
作者单位E-mail
张平方 华北石油管理局总医院骨一科,沧州 062552 pffneugpu49019@163.com 
王鑫 华北石油管理局总医院门诊办公室,沧州 062552 pffneugpu49019@163.com 
张宇 华北石油二部医院内科 pffneugpu49019@163.com 
张辉 华北石油管理局总医院骨一科,沧州 062552 pffneugpu49019@163.com 
马蒲阳 华北石油管理局总医院骨一科,沧州 062552 pffneugpu49019@163.com 
何杨 华北石油管理局总医院骨一科,沧州 062552 pffneugpu49019@163.com 
王建民 华北石油管理局总医院骨一科,沧州 062552 pffneugpu49019@163.com 
郭启 华北石油管理局总医院骨一科,沧州 062552 pffneugpu49019@163.com 
赵宇宙 华北石油管理局总医院骨一科,沧州 062552 pffneugpu49019@163.com 
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中文摘要:
      目的 探讨人工股骨头置换治疗高龄不稳定型股骨粗隆间骨折的疗效。 方法 选取60例高龄不稳定型股骨粗隆间骨折患者,按照随机数字表法分为对照组和试验组,其中对照组患者均给予股骨近端髓内钉-PFNA内固定的方法进行治疗,而试验组患者则采用人工股骨头置换术进行治疗。观察两组患者的手术时间和术中出血量,比较两组患者的下床时间和治疗前后的髋关节功能评分(Harris评分)以及并发症发生情况等。 结果 试验组患者的手术时间为(53.28±11.02)min,显著低于对照组患者的(69.38±12.22)min(P<0.05);试验组患者的术中出血量为(228.36±14.98)mL,显著低于对照组患者的(387.27±10.28)mL(P<0.05);试验组患者的下床时间为(13.20±4.87)d,显著短于对照组患者的(39.01±8.27)d(P<0.05)。两组患者治疗前的Harris评分差异无统计学意义(P>0.05),经过治疗后试验组患者的Harris评分显著优于对照组患者(P<0.05);试验组患者的不良反应发生率为3.33%,低于对照组患者的16.67%。 结论 对于高龄不稳定型股骨粗隆间骨折患者采用人工股骨头置换术进行治疗能够有效避免患者术后严重并发症的出现,大大提高了患者的临床疗效。
英文摘要:
      Objective To analyze the effect of artificial femoral head replacement in the treatment of unstable intertrochanteric fracture of femur. Methods 60 cases of aged patients with unstable type of intertrochanteric fracture were selected and randomly divided into two groups according to random number table method.The control group was given Proximal femoral nail-PFNA fixation for treatment,and the trial group was treated with artificial femoral head replacement.The time of surgery and intraoperative blood loss of the two groups were observed.The time of getting out of bed,Harris scores before and after treatment and complications were compared between the two groups. Results The operative time of the patients in the trial group was (53.28±11.02) min and significantly lower than that in the control group with (69.38±12.22) min.The intraoperative bleeding volume in the trial group was (228.36±14.98) mL andsignificantly lower than that in the control group with (387.27±10.28) mL.The time to get out of bed was (13.20±4.87) d in the trial group and significantly lower than that in the control group with (39.01±8.27) d (t=6.263,P<0.05).There was no significant difference in Harris score between the two groups before treatment (P>0.05).After treatment,the Harris score in the trial group was significantly higher than that in the control group (P<0.05).The incidence of adverse reactions in the trial group was 3.33%,significantly lower than that in the control group 16.67% (P<0.05). Conclusion The artificial femoral head replacement can effectively decrease the occurrence of serious postoperative complications and greatly improve the clinical efficacy for the elderly patients with unstable femoral intertrochanteric fracture.
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