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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临床效果。方法选取2011年1月至2015年1月江门市第二人民医院收治的老年(≥60岁)股骨颈骨折患者60例为研究对象,按随机数字表法分为对照组与观察组,每组30例。对照组患者采用人工股骨头置换术治疗,观察组患者采用全髋关节置换术治疗,比较两组患者的临床疗效。结果观察组患者术中出血量多于对照组,手术时间及住院时间均长于对照组,差异均有统计学意义(均P<0.05);10个月后,观察组患者髋关节功能恢复优良率为96.7%,明显高于对照组的73.3%,差异有统计学意义(P<0.05)。结论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各有优势,人工股骨头置换术具有出血少、手术时间及住院时间短等优势,但全髋关节置换术治疗的远期疗效较人工股骨头置换术更优。
Objective To investigate the clinical effects of total hip arthroplasty and artificial femoral head replacement in the treatment of elderly femoral neck fractures. Methods Sixty elderly patients (≥60 years old) with femoral neck fracture who were admitted to Second People’s Hospital of Jiangmen from January 2011 to January 2015 were selected as study subjects and divided into control group and observation group according to random number table. Each group 30 cases. Patients in the control group were treated with artificial femoral head replacement. Patients in the observation group were treated with total hip arthroplasty, and the clinical efficacy was compared between the two groups. Results The bleeding volume of the observation group was more than that of the control group, and the operation time and hospitalization time were longer than those of the control group (all P <0.05). After 10 months, the recovery rate of hip joint function in observation group (96.7%), which was significantly higher than that of the control group (73.3%), the difference was statistically significant (P <0.05). Conclusion Total hip arthroplasty and artificial femoral head replacement have the advantages in the treatment of elderly femoral neck fractures. Artificial femoral head replacement has the advantages of less bleeding, shorter operation time and shorter hospital stay, but the long-term effect of total hip arthroplasty Compared with artificial femoral head replacement is better.