老年股骨颈骨折患者采用全髋关节置换术治疗的手术时机的选择及疗效分析

邢秀峰

（榆林市榆阳区人民医院，陕西 榆林，719000）

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摘要：

目的 分析老年股骨颈骨折患者采用全髋关节置换术治疗的手术时机选择及疗效。方法 选择本院在2013年1月至2016年6月收治的40例老年股骨颈骨折患者为研究对象，随机分为A 组和B组，每组20例。两组患者均给予全髋关节置换术治疗，A组患者手术时间为骨折发生3~5 d内，B组患者手术时间为骨折发生5 d 后。对比两组患者的临床疗效、髋关节Harris评分及并发症发生情况。结果 A组患者的治疗优良率是95.00%（19/20），明显高于B组的75.00%（15/20）（P<0.05）。A组 在术后1、3、6、9 个月的髋关节Harris评分均明显高于B组（P<0.05）。A组患者并发症发生率是25.00%，低于B 组患者的 50.00%（P<0.05）。结论 老年股骨颈骨折患者采用全髋关节置换术的临床疗效显著，且手术时间越早，疗效越好。

关键词：老年股骨颈骨折；全髋关节置换术；手术时机

中图分类号：R687.4 文献标志码：A文章编号：2096-1413(2017)30-0090-02

Choice of operation time and curative effect analysis of total hip replacement in senile patients with femoral neck fracture
XING Xiu-feng
(Yuyang District People``s Hospital, Yulin 719000, China)

ABSTRACT: Objective To investigate the choice of operation time in senile patients with femoral neck fracture. Methods From January 2013 to June 2016, 40 cases of senile patients with femoral neck fracture in our hospital were selected as the research objects, which were divided into group A and group B, with 20 cases in each group. The patients in the two groups were treated with total hip arthroplasty, the operation time of group A was 3~5 d, and the operation time of the group B was 5 d after fracture. The clinical efficacy, Harris score and complications were compared in the two groups. Results The excellent and good rate of treatment in the group A was 95.00% (19/20), which was higher than 75.00% (15/20) of the group B (P<0.05). The Harris scores of hip joint at 1, 3, 6 and 9 months after operation in the group A were significantly higher than those in the group B (P<0.05). The incidence of complications in the group A was 25.00%, which was lower than 50.00% in the group B (P<0.05). Conclusion The total hip replacement has remarkable curative effect in the treatment of femoral neck fracture, and has the earlier operation time and the better curative effect.
KEYWORDS: senile femoral neck fracture; total hip arthroplasty; operation time

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