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1、单动头和双动头半锻置换治疗高龄老年人股骨颈骨折比较［摘要］目的：比较单动头置换与双动头置换在高龄老年人($85岁)股骨颈骨折屮的治疗效果。方法：我院2004〜2007年共收治50例高龄老年(#85岁)股骨颈骨折患者，分为单动头置换组(27例)和双动头置换组(23例)。随访6个月〜4年，平均3.4年。对两组患者手术时间、手术出血量、住院时间、住院费用、并发症、关节功能及死亡率等进行比较。结果：两组患者平均手术时间、术屮岀血量、住院时间、并发症、关节功能Harris评分及死亡率比较，差异无显著性(P〉0.05)。住院费用比较，双动头置换纟R术屮多于单动头
2、置换纟R,差异有显著性(P〈0.05)。结论：在治疗高龄老年(285岁)股骨颈骨折患者的疗效比校屮，双动头置换对比单动头置换没有任何优势，而且住院费用高。对高龄老年($85岁)股骨颈骨折患者的治疗尽可能采用简单有效的手术方法，单动头置换完全可以满足该类患考的需要，是一个合理的选择。［关键词］股骨颈骨折；高龄老年患者；人工股骨头置换［中图分类号］R683.42［文献标识码］A［文章编号］1673-7210(2009)05(a)-036-03Comparisonofunipolaranclbipolarhemiarthroplastyinelderlyp
3、atientswithfemoralneckfractureWUMeixiang,BAIBo*,QIANDongyang,WUJingming,YUNansheng,DONGWeiqiang,LINZhixiong,LUWeijie,CHENDongfeng(DepartmentofOrthopaedics,theFirstAffi1iatedHospitaiofGuangzhouMedicalCollege,Guangzhou510120,China)［Abstract］Objective:Tocomparewiththeeffectsofunip
4、olarandbipolarhemiarthroplastyintreatmentofelderlypatients(285years)withfemoralneckfracture・Methods:Fiftyelderlypatientswithfemoralneckfractureweredividedintounipolarhemiarthroplastygroup(27cases)andbipolarhemiarthrop］astygroup(23cases)from2004to2007inourhospital.Thefollow-uppe
5、riodrangedfrom6monthsto4years,withanaverageof3・4years.Theoperationtime,bloodlostduringoperation,hospitalizationtime,hospitaiizationexponse，complications，jointfunctionandmortalityrateoftwogroupswerecompared・Results:Therewasnosignificantdifferencebetweentwogroupsinoperationtime,b
6、loodlostcluringoperation,hospitalizationtime,complications,Harrisscoringofjointfunction,andmortalityrate(P>0・05).Thehospitalizationexpenseofbipolarhemiarthroplastygroupwasmorethanthatofunipolarhemiarthroplastygroup(P<0・05).Conelusion:Incomparisonofthetherapeuticeffectintreating
7、elderlypatients(285years)withfemoralneckfracture,bipolarhemiarthroplastyshowsnoadvantagethanunipolarhemiarthroplasty,andthehospitalizationexpenseoftheformerismorethanthelatter.Asimpleandeffectivesurgeryshouldbeselectedtotreatelderlypatients085years)withfemoralneckfracture,andun
8、ipolarhemiarthroplastycouldcompletelysatisfytherequire
