[1]邓邦瑾,张卫红,文　政,等.人工全髋关节置换术与钢板螺钉内固定术治疗老年股骨粗隆间骨折疗效比较[J].新乡医学院学报,2017,34(8):731-733.[doi:10.7683/xxyxyxb.2017.08.018]
　DENG Bang-jin,ZHANG Wei-hong,WEN Zheng,et al.Comparison of the effect between total hip replacement and plate-screw internal fixation in the treatment of elderly patients with intertrochanteric fracture[J].Journal of Xinxiang Medical University,2017,34(8):731-733.[doi:10.7683/xxyxyxb.2017.08.018]
点击复制

人工全髋关节置换术与钢板螺钉内固定术治疗老年股骨粗隆间骨折疗效比较
分享到：

《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年8
页码:
731-733
栏目:
临床研究
出版日期:
2017-08-05

文章信息/Info

Title:
Comparison of the effect between total hip replacement and plate-screw internal fixation in the treatment of elderly patients with intertrochanteric fracture
作者:
邓邦瑾; 张卫红; 文　政; 牛闯来
（深圳平乐骨伤科医院骨七科，广东　深圳　518010）
Author(s):
DENG Bang-jin; ZHANG Wei-hong; WEN Zheng; NIU Chuang-lai
（Department of Osteology，Shenzhen Pingle Osteopathic Hospital，Shenzhen 518010，Guangdong Province，China）
关键词:
股骨粗隆间骨折; 人工全髋关节置换; 内固定; Harris评分
Keywords:
intertrochanteric fracture; total hip replacement; internal fixation; Harris score
分类号:
R687.3
DOI:
10.7683/xxyxyxb.2017.08.018
文献标志码:
A
摘要:
目的　比较人工全髋关节置换术（THR）与钢板螺钉内固定术治疗老年股骨粗隆间骨折的临床效果。方法　选取2012年6月至2015年6月深圳平乐骨伤科医院收治的老年股骨粗隆间骨折患者120例，按照手术方法分为观察组和对照组，每组60例。对照组患者给予钢板螺钉内固定术进行治疗，观察组患者给予THR治疗。对2组患者的手术时间、术中出血量、术后卧床时间、术后住院时间、术后髋关节功能Harris评分、临床疗效及术后并发症发生率进行比较。结果　观察组患者的手术时间、术后卧床时间和住院时间显著短于对照组（P<0.05），术中出血量显著少于对照组（P<0.05），术后髋关节功能Harris评分显著高于对照组（P<0.05）。观察组和对照组患者治疗效果优良率分别为88.33%（53/60）、73.33%（44/60），观察组患者治疗效果优良率高于对照组（χ2=4.357,P<0.05）。观察组和对照组术后并发症发生率分别为5.00%（3/60）、40.00%（24/60），观察组患者并发症发生率显著低于对照组（χ2=21.075,P<0.05）。结论　THR治疗老年股骨粗隆间骨折具有手术时间短、术中出血量少、术后卧床和住院时间短、髋关节功能恢复好及并发症少等优势。
Abstract:
Objective　To compare the clinical effect of total hip replacement （THR） and plate-screw internal fixation in the treatment of elderly patients with intertrochanteric fracture.Methods　A total of 120 elderly patients with intertrochanteric fracture were selected from June 2012 to June 2015 in Shenzhen Pingle Orthopedic Hospital.The patients were divided into observation group and control group according to surgical method，60 patients in each group.The patients in the control group were treated with plate and screw internal fixation，and the patients in the observation group were treated with THR.The operation time，intraoperative blood loss，postoperative bed rest time，hospitalization time，Harris score of hip function，clinical effect and postoperative complication rate were compared between the two groups.Results　The operation time，postoperative bed rest time and hospitalization time in the observation group were significantly shorter than those in the control group （P<0.05），and the intraoperative blood loss in the observation group was significantly less than that in the control group （P<0.05），and the Harris score of hip function in the observation group was significantly higher than that in the control group （P<0.05）.The fineness rate in the observation group and control group was 88.33%（53/60） and 73.33%（44/60） respectively，the fineness rate in the observation group was higher than that in the control group （χ2=4.357,P< 0.05）.The incidence of postoperative complication in the observation group and control group was 5.00%（3/60） and 40.00%（24/60），the incidence of postoperative complication in the observation group was significantly lower than that in the control group （χ2=21.075,P<0.05）.Conclusion　THR in the treatment of intertrochanteric fracture in elderly patients has the advantages of shorter operation time，less intraoperative blood loss，shorter postoperative bed rest time and hospitalization time，good hip function recovery and less complications.

参考文献/References:

［1］　屈波，伍红桦，邓少林，等.老年股骨粗隆间骨折的手术治疗：应用DHS与PFNA的疗效比较［J］.军事医学，2014，38（1）：67-69.
［2］　侯国进，周方，张志山，等.不同内固定方式治疗老年股骨粗隆间骨折围手术期的失血特点分析［J］.北京大学学报（医学版），2013，45（5）：738-741.
［3］　向川，郝耀，杨宇君，等.人工髋关节置换术与内固定术治疗老年股骨粗隆间骨折的Meta分析［J］.中国矫形外科杂志，2013，21（14）：1384-1391.
［4］　李意，李新志.股骨粗隆间骨折内固定手术治疗的研究进展［J］.重庆医学，2013，42（10）：1172-1175.
［5］　吴元勇，郭金伟.人工关节置换术治疗高龄股骨粗隆间骨折42例分析［J］.重庆医学，2013，42（11）：1243-1244，1247.
［6］　段军富，王博，李云靖，等.半髋关节置换术与股骨髓内钉固定术治疗老年股骨粗隆间骨折疗效比较［J］.新乡医学院学报，2017，34（4）：300-302.
［7］　陈永龙，张怡五，王晓勇，等.人工髋关节置换术治疗高龄不稳定股骨粗隆间骨折34例疗效分析［J］.重庆医学，2013，42（8）：934-936.
［8］　YANG B K，YI S R，AHN Y J，et al.Ischial tuberosity avulsion stress fracture after short period of repetitive training［J］.Hip Pelvis，2016，28（3）：187-190.
［9］　GOMES L P，DO NASCIMENTO L D，CAMPOS T V，et al.Influence of age on delayed surgical treatment of proximal femoral fractures［J］.Acta Ortop Bras，2015，23（6）：315-318.
［10］　赵程锦，白东昱，薛亮，等.老年股骨粗隆间骨折患者术后髋关节功能恢复的影响因素［J］.海南医学，2016，27（21）：3556-3558.
［11］　沈波，焦竞，勘武生，等.人工关节置换与内固定术治疗老年股骨粗隆间骨折的Meta分析［J］.华中科技大学学报（医学版），2014，43（5）：586-594.
［12］　沈宁江，宋世锋，王广积，等.不同手术方法治疗老年股骨粗隆间骨折疗效分析［J］.中国骨与关节损伤杂志，2013，28（10）：914-916.
［13］　王飞，刘克敏，刘四海，等.三种手术方法治疗老年人股骨粗隆间骨折疗效分析［J］.中华老年医学杂志，2013，32（8）：853-856.

相似文献/References:

[1]张韶民,王明君,苗卫东,等.动力髋螺旋刀片系统治疗老年股骨粗隆间骨折[J].新乡医学院学报,2011,28(03):377.
[2]陈　军.益骨汤对老年骨质疏松性股骨粗隆间骨折患者术后疗效的影响[J].新乡医学院学报,2019,36(5):464.[doi:10.7683/xxyxyxb.2019.05.015]
　CHEN Jun.Effect of Yigutang on postoperative efficacy of femoral intertrochanteric fracture in senile patients with osteoporosis[J].Journal of Xinxiang Medical University,2019,36(8):464.[doi:10.7683/xxyxyxb.2019.05.015]
[3]邵　锋,吴俊涛,张春旺,等.股骨近端解剖型锁定钢板与股骨近端抗旋髓内钉治疗老年股骨粗隆间骨折疗效比较[J].新乡医学院学报,2018,35(2):122.[doi:10.7683/xxyxyxb.2018.02.010]
　SHAO Feng,WU Jun-tao,ZHANG Chun-wang,et al.Comparison of the effect between proximal femoral anatomic locking plate and proximal femoral nail anti-rotation in the treatment of elderly patients with intertrochanteric fracture[J].Journal of Xinxiang Medical University,2018,35(8):122.[doi:10.7683/xxyxyxb.2018.02.010]
[4]吴智涛,雷正亮,江祖新.股骨近端防旋髓内钉内固定治疗股骨粗隆间骨折疗效观察[J].新乡医学院学报,2018,35(4):323.[doi:10.7683/xxyxyxb.2018.04.017]
　WU Zhi-tao,LEI Zheng-liang,JIANG Zu-xin.Effect of proximal femoral nail anti-rotation on intertrochanteric fracture[J].Journal of Xinxiang Medical University,2018,35(8):323.[doi:10.7683/xxyxyxb.2018.04.017]
[5]段军富,王　博,李云靖,等.半髋关节置换术与股骨髓内钉固定术治疗老年股骨粗隆间骨折疗效比较[J].新乡医学院学报,2017,34(4):300.[doi:10.7683/xxyxyxb.2017.04.014]
　DUAN Jun-fu,WANG Bo,LI Yun-jing,et al.Comparison of the effect of hemiarthroplasty and femoral intramedullary nail fixation for the treatment of intertrochanteric fracture in elderly patients[J].Journal of Xinxiang Medical University,2017,34(8):300.[doi:10.7683/xxyxyxb.2017.04.014]

更新日期/Last Update: 2017-08-05