对86例老年股骨颈骨折的临床疗效分析
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摘要：目的：分析老年股骨颈骨折不同术式的临床效果，为临床治疗提供参考依据。方法：对86例老年股骨颈骨折患者，采取内固定、半髋关节置换、全髋关节置换3种手术，对比分析临床疗效。结果：内固定组患者损伤最小，全髋损伤最大；内固定组住院时间短，但术后恢复时间延迟，并发症也显著高于关节置换组；Harris髋关节评分:内固定组比关节置换组效果均差，全髋置换效果最好，差异有统计学意义(p<0.05)。结论：治疗老年股骨颈骨折，要根据具体情况选择手术方式，才能提高治疗效果，保证患者的生活质量。
关键词：老年股骨颈骨折；内固定；半髋置换；全髋置换；效果
Abstract：Objective：analysis old femoral neck fracture the clinical effect of different operative methods, provide a reference basis for clinical treatment. Methods：86 cases of elderly patients with fracture of the femoral neck, take internal fixation, half a hip replacement, total hip replacement 3 kinds of surgery, a comparative analysis of the clinical curative effect. Results:fixed group in patients with minimal damage, total hip injury most; Fixed group within short time in hospital, but the postoperative recovery time delay, complication is also significantly higher joint replacement group; harris hip score: internal fixation group than in the joint replacement group effect are poor, a total hip replacement best effect, the difference was statistically significant (p<0.05). Conclusion：care of elderly femoral neck fracture, according to the specific circumstances of choosing surgery way, can improve the treatment effect, ensure the quality of life of the patients.
Key words：Older femoral neck fractures; Internal fixation; Half a hip replacement; Total hip replacement; effect
【中图分类号】R473.6 【文献标识码】A 【文章编号】1672-3783(2012)06-0201-01
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