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1、应用全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的疗效比较郭隆森(泸州市纳溪区人民医院四川泸州646300)【摘要】目的:研究比较应用全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的疗效。方法:选取2011年1月至2014年1月来我院就诊的128例老年股骨颈骨折患者,作为研究对象,随机分为观察组和对照组,80例观察组患者采用全髋关节置换术治疗,48例对照组患者予以半髋关节置换术治疗,依据Harris评分比较两组患者的治疗情况。结果:对照组患者的优良率为83.33%,观察组优良效率为92.50%,观察组患者的优良率远远好于对照组患者,两组之间的对比有统计学意义(P<0.05),对照组患者的
2、并发症率为41.67%,观察组优良效率为25.00%,观察组患者的并发症发生率远远低于对照组患者,两组之间的对比有统计学意义(P<0.05)。结论:在老年股骨颈骨折的治疗屮实施全髋关节置换术治疗可以取得较高的优良率,降低并发症发生率,治疗效果显著,值得在临床上大力推广。【关键词】全髋关节置换术;半髋关节置换术;老年股骨颈骨折;比较【中图分类号】R683【文献标识码】A【文章编号】2095-1752(2016)29-0045-02Comparisonoftotalhiparthroplastyandhiparthroplastyinthetreatmentoffemoralneckfractur
3、einelderlypatientsGuoLongsen.ThePeople'sHospitalofNaxiDistrict,LuzhouCity,SichuanProvince,Luzhou646300,China[Abstract]ObjectiveTocomparetotalhiparthroplastyandhemiarthroplastyforthetreatmentoffemoralneckfracture.MethodsJanuary2011to2014128casesoffemoralneckfracturepatientstoourhospitalinJanuary,anda
4、sresearchsubjectswererandomlydividedintoobservationgroupandcontrolgroup,80casesofobservationgroupweretreatedwithtotalhiparthroplasty48controlpatientsbepartialhiparthroplasty,accordingtotheHarrisscoreoftreatmentbetweenthetwogroupsofpatients.ResultsThepatientsinthecontrolgroup(83.33%)excellent,excelle
5、ntobservationgroupefficiencyof92.50%,excellentrateoftheobservationgroupweremuchbetterthanthecontrolgroupofpatients,thecontrastbetweenthetwogroupswasstatisticallysignificant(P<0.05),thecontrolgroupofpatientswithcomplicationswas41.67%intheobservationgroupwassuperiorefficiencyof25.00%,thecomplicatio
6、nrateoftheobservationgroupweremuchlowerthanthecontrolgroupofpatients,thecontrastbetweenthetwogroupswasstatisticallysignificant(P<0.05).ConclusionTheimplementationofthefemoralneckfracturesintotalhiparthroplastycanachieveahigherqualityandreducetheincidenceofcomplications,thetreatmenteffectissignifi
7、cant,worthyofclinicalpromoting.【Keywords】Totalhiparthroplasty;Partialhiparthroplasty;Femoralneckfracture;Comparison本次研宄的主要0的是对比研宄全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的疗效。选取2011年1月至2014年1月来我院就诊的128例老年股骨颈骨折患者,作为研究对象