全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的疗效对比观察
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摘要
目的探讨全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的疗效对比。方法选择90例2016年1月至2018年1月老年股骨颈骨折患者,根据随机数字表法分组。对照组开展人工股骨头置换术治疗,观察组行全髋关节置换术治疗。比较两组老年股骨颈骨折手术干预效果;手术的出血量、耗时和引流量;手术前后患者Harris髋关节功能评分、QOL-100生活质量量表评分;下肢深静脉血栓、假体松动等并发症率。结果观察组老年股骨颈骨折手术干预效果高于对照组(P<0.05);观察组手术的出血量、耗时和引流量多于对照组(P<0.05);手术前两组Harris髋关节功能评分、QOL-100生活质量量表评分比较差异无统计学意义;手术后观察组Harris髋关节功能评分、QOL-100生活质量量表评分优于对照组(P<0.05)。观察组下肢深静脉血栓、假体松动等并发症率低于对照组(P<0.05)。结论老年股骨颈骨折患者行全髋关节置换术的出血和手术时间较多,但疗效非常理想,可有效减少并发症,改善患者生活质量和髋关节功能。
引文
[1]张广亮.全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的疗效比较[J].中国现代医生,2018,56(11):62-64.
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[6]潘月帆.全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折患者的疗效比较[J].中国药物经济学,2016,11(6):129-131.
[7]曲振涛,刘青春,张述东.人工股骨头置换术和全髋关节置换术治疗老年股骨颈骨折的疗效比较[J].中外医疗,2016,35(3):93-94.
[8]Yang Zhouyuan,Liu Huifang,Xie Xiaowei,et al.Total Hip Arthroplasty for Failed Internal Fixation After Femoral Neck Fracture Versus That for Acute Displaced Femoral Neck Fracture:A Comparative Study[J].The Journal of arthroplasty,2015,30(8):1378-1383.
[9]林夏全.人工股骨头与全髋关节置换术治疗老年股骨颈骨折的疗效对比[J].中外医学研究,2015,13(18):10-11.
[10]郑维辉.全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折疗效对比分析[J].现代诊断与治疗,2015,26(12):2759-2760.
[2]Thomas A(Toney)Russell,Timothy D Browne,Marc Jacofsky,et al.The Problem of Fracture Fixation Augmentation and Description of a Novel Technique and Implant for Femoral Neck Stabilization[J].Techniques in Orthopaedics,2015,30(1):22-27.
[3]胡德洪,彭仲华,谢学文,等.人工股骨头置换术与人工全髋关节置换术治疗老年股骨颈骨折的疗效对比[J].现代诊断与治疗,2017,28(10):1876-1877.
[4]刘欢欢,关亚军,王巧霞,等.比较人工股骨头置换术和全髋关节置换术治疗老年股骨颈骨折的疗效及对生活质量的影响[J].中国老年学杂志,2017,37(6):1457-1458.
[5]Mann Tobias,Eisler Thomas,Boden Henrik,et al.Larger Femoral Periprosthetic Bone Mineral Density Decrease Following Total Hip Arthroplasty for Femoral Neck Fracture Than for Osteoarthritis:A Prospective,Observational Cohort Study[J].Journal of orthopaedic research,2015,33(4):504-512.
[6]潘月帆.全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折患者的疗效比较[J].中国药物经济学,2016,11(6):129-131.
[7]曲振涛,刘青春,张述东.人工股骨头置换术和全髋关节置换术治疗老年股骨颈骨折的疗效比较[J].中外医疗,2016,35(3):93-94.
[8]Yang Zhouyuan,Liu Huifang,Xie Xiaowei,et al.Total Hip Arthroplasty for Failed Internal Fixation After Femoral Neck Fracture Versus That for Acute Displaced Femoral Neck Fracture:A Comparative Study[J].The Journal of arthroplasty,2015,30(8):1378-1383.
[9]林夏全.人工股骨头与全髋关节置换术治疗老年股骨颈骨折的疗效对比[J].中外医学研究,2015,13(18):10-11.
[10]郑维辉.全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折疗效对比分析[J].现代诊断与治疗,2015,26(12):2759-2760.