双极人工股骨头置换术与全髋关节置换术治疗老年股骨颈骨折疗效对比分析

doi:10.3969/j.issn.1006-6233.2018.05.034

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摘要 目的:探讨与比较双极人工股骨头置换术与全髋关节置换术治疗老年股骨颈骨折疗效。方法:收集2015年1月至2016年1月入院的80例股骨颈骨折老年患者随机分为两组,BFHR组患者给予双极人工股骨头置换术(BFHR),THR组患者则给予全髋关节置换术(THR),比较两组患者相关临床指标、髋关节功能、远期并发症与髋关节预后。结果:BFHR组患者手术时间、术中失血量、术中输血量、住院时间与住院费用均显著性低于THR组;末期随访Harris总分组间比较显著性低于THR组;远期并发症率显著性高于THR组;末期随访WOMAC评分与OHS评分组间比较均显著性高于THR组,存在显著性差异(P<0.05)。结论:BFHR与THR在短期内均可达到显著地临床效果,但THR并发症较少,远期预后更佳,是老年股骨颈骨折的首选方案;而BFHR手术创伤低,费用适中,适合少数身体状况较差的高龄患者,具有借鉴意义。

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	范磊
	李杰
	赵大中

关键词 ： BFHR, THR, 股骨颈骨折, 髋关节功能

Abstract：Objective: To investigate and compare the efficacy of bipolar artificial femoral head replacement and total hip arthroplasty in the treatment of elderly femoral neck fracture. Methods: A total of 80 elderly patients with femoral neck fracture who were hospitalized from January 2015 to January 2016 were randomly divided into two groups. Patients in BFHR group received bipolar artificial femoral head replacement (BFHR) while patients in THR group received total hip arthroplasty Replacement surgery (THR) was performed to compare the clinical parameters of the two groups, hip function, long-term complications and hip joint prognosis. Results: The operation time, intraoperative blood loss, intraoperative blood transfusion, hospitalization and hospitalization costs in BFHR group were significantly lower than those in THR group. The Harris total score at the end of follow-up was significantly lower than that in THR group. The long-term complication rate (P<0.05). There was a significant difference between the two groups (P>0.05). The WOMAC score and OHS score in the final follow-up were significantly higher than those in the THR group (P<0.05). Conclusion: Both BFHR and THR can achieve significant clinical effect in a short period of time, but fewer THR complications and better long-term prognosis are the first choice for elderly patients with femoral neck fracture. However, BFHR has low trauma and moderate cost, Elderly patients in poor condition, with reference.

Key words： BFHR THR Femoral neck fracture Hip joint function

基金资助:北京市科技计划项目,(编号:201402369)

引用本文:

范磊, 李杰, 赵大中. 双极人工股骨头置换术与全髋关节置换术治疗老年股骨颈骨折疗效对比分析[J]. 河北医学, 2018, 24(5): 830-833.
FAN Lei, LI Jie, ZHAO Dazhong. Comparison of Bipolar Artificial Femoral Head Replacement and Total Hip Arthroplasty in the Treatment of Senile Femoral Neck Fracture. HeBei Med, 2018, 24(5): 830-833.

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