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背景:髋关节置换术应用于股骨颈骨折时,在解除疼痛、恢复关节功能和防止并发症等方面取得了较大成功,但是由于老年人的耐受性较差,骨密度下降,手术安全性得不到保障.目的:探讨非骨水泥微创半髋关节置换术治疗老年患者股骨颈骨折的安全性及临床疗效.方法:对2015年2月至2016年2月于我院接受手术的120例老年股骨颈骨折患者的临床资料进行分析.依据手术方式的不同分为两组.观察组60例患者采取非骨水泥微创半髋关节置换术,对照组60例采取人工股骨头置换术.对比分析两组患者的手术时间、住院时间、术中出血量、髋关节功能评分(Harris评分)、疼痛发生率以及术后并发症的发生情况.结果:观察组患者的手术时间、住院时间以及术中出血量均明显低于对照组者(P<0.05).观察组患者术后3个月、6个月和12个月的Harris评分分别为76.3±7.3,68.9±6.1,60.5±5.4,与对照组比较差异有统计学意义(P<0.05);且观察组术后6个月和12个月的髋关节功能恢复的优良率明显高于对照组(P<0.05).观察组的疼痛发生率为30.0%,显著低于对照组的58.3%(P<0.01).此外,观察组患者术后出现股骨头脱出、假体脱位、伤口感染和假体远端骨折的例数均少于对照组,观察组术后并发症的总发生率为11.6%,显著低于对照组的33.3%(P<0.01).结论:非骨水泥微创半髋关节置换术治疗老年患者股骨颈骨折具有显著的临床疗效,在减少患者术后并发症的同时能够减轻患者疼痛,有助于改善患者的生活质量,在治疗老年患者股骨颈骨折的过程中值得推广应用.“,”Background:Total hip arthroplasty (THA) can effectively ameliorate pain, improve joint function recovery and reduce the incidence of complications for the treatment of femoral neck fracture. However, because of the poor tolerance and decreased bone density in the elderly, the operation safety is not guaranteed. Objective:To investigate the safety and clinical effect of invasive uncemented hemiarthroplasty for femoral neck fracture in the elderly. Methods:Clinical data of 120 elderly patients with femoral neck fractures treated in our hospital from February 2015 to February 2016 were retrospec-tively analyzed. They were divided into two groups according to different treatment methods. In observation group, 60 pa-tients were treated with minimally invasive uncemented hemiarthroplast. In control group, 60 patients were treated with fem-oral head replacement. The operation time, hospitalization time, intraoperative bleeding volume, hip function score (Harris score), the excellent rate of hip function, and the incidence of postoperative complications were compared and analyzed be-tween the two groups. Results:The operation time, hospitalization time and intraoperative bleeding volume in the observa-tion group were significantly lower than those in the control group (P<0.05). The Harris score was 76.3±7.3, 68.9±6.1 and 60.5 ± 5.4 at 3, 6 and 12 months postoperatively in the observation group, which were significantly higher than those of the control group (P<0.05). The excellent rate of hip function at 6 and 12 months postoperatively in the observation group were also significantly higher than those of the control group (P<0.05). The incidence of pain in the observation group was signif-icantly lower than that in the control group (30%vs 58.3%, P<0.01). In addition, the number of patients in the observation group who experienced prolapse of bone, prosthesis dislocation, wound infection and periprosthetic fracture was less than that of the control group;the incidence of postoperative complications in the observation group was significantly lower than in the control group (11.6% vs 33.3%, P<0.01). Conclusions: Minimally invasive treatment uncemented hemiarthroplasty can obviusly reduce the occurrence of postoperative complications and pain in the elderly patients with femoral neck frac-ture. It has high security and is worthy of application in clinic.