| 吴利洲.髋关节置换术治疗老年患者的严重粉碎移位的股骨粗隆间骨折的临床研究[J].实用中西医结合临床,2020,20(18): |
| 髋关节置换术治疗老年患者的严重粉碎移位的股骨粗隆间骨折的临床研究 |
| Clinical Research on Hip Replacement in Treatment of Intertrochanteric Fracture with Severe Comminuted Displacement in Elderly |
| 投稿时间：2020-10-25 修订日期：2021-01-18 |
| DOI： |
| 中文关键词: 髋关节置换术 严重粉碎移位 股骨粗隆间骨折 临床疗效 |
| 英文关键词: severe comminuted displacement intertrochanteric fracture hip replacement clinical effect |
| 基金项目: |
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| 中文摘要: |
| 目的：观察使用髋关节置换术治疗严重粉碎移位的股骨粗隆间骨折老年患者的临床疗效。方法：选取严重粉碎移位股骨粗隆间骨折老年患者103例,他们均是2018年4月-2020年4月期间被我院收治入院实施手术治疗。将患者分成两组施行手术,其中研究组53例,该组患者接受髋关节置换术治疗,对照组50例,该组患者接受内固定术治疗。患者治疗后进行3个月的随访,观察患者的治疗效果以及症状的改善程度、症状体征恢复情况,包括骨折愈合时间、手术后关节可活动时间,记录好患者治疗后出现的不良反应类型。结果：研究组骨折愈合时间(31.8±8.59)天、术后可活动时间(6.9±2.69)天,均显著少于对照组,而Harris评分(92.7±1.88)分明显高于对照组,差异具统计学意义(P<0.05)。研究组治疗后总有效率(96.2%)明显高于对照组(76.0%),差异具统计学意义(P<0.05)。研究组不良反应发生率(9.43%)明显低于对照组(20%),差异具统计学意义(P<0.05)。结论：运用髋关节置换术治疗老年患者严重粉碎移位的股骨粗隆间骨折,可达到创口小、疼痛低的效果,症状得到更好的改善,骨折愈合时间更短、不良反应少,安全性和预后良好。 |
| 英文摘要: |
| Objective: Objective to compare and analyze the clinical effect of hip replacement in the treatment of elderly patients with severe comminuted and displaced intertrochanteric fractures. Methods: 103 elderly patients with intertrochanteric fracture were selected. They were all admitted to our hospital from April 2018 to April 2020 for surgical treatment. The patients were divided into two groups for operation, including 53 cases in the study group, who received hip replacement treatment, and 50 cases in the control group, who received internal fixation. After treatment, the patients were followed up for 3 months to observe the treatment effect, improvement of symptoms and signs, recovery of symptoms and signs, including fracture healing time, joint activity time after operation, and record the types of adverse reactions after treatment. Results: the fracture healing time and postoperative activity time of the study group were (31.8 ± 8.59) days and (96.9 ± 2.69) days, which were significantly less than those of the control group, and the Harris score (92.7 ± 1.88) was significantly higher than that of the control group (P < 0.05). After treatment, the total effective rate of the study group was 96.2%, which was significantly higher than that of the control group (76%) (P < 0.05). The incidence of complications in the study group was 9.43%, which was significantly lower than that in the control group (20%) (P < 0.05). Conclusion: in the treatment of elderly patients with severe comminuted and displaced intertrochanteric fractures, hip replacement can achieve small wound, low pain, better improvement of symptoms, shorter fracture healing time, fewer complications, better safety, good prognosis. |
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