| 马江卫 杜耿 王民 高光明 杨振邦.人工关节置换治疗老年转子间骨折的临床研究[J].,2015,15(24):4723-4725 |
| 人工关节置换治疗老年转子间骨折的临床研究 |
| Clinical Research of Artificial Joint Replacement Therapy Among ElderlyIntertrochanteric Fracture |
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| DOI： |
| 中文关键词: 老年人 骨折 转子间 人工置换治疗 |
| 英文关键词: Old people Fracture Intertrochanteric Artificial replacement therapy |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨人工关节置换术治疗老年转子间骨折的临床疗效。方法：选取我院2009 年11 月至2014 年11 月收诊的70 例老
年转子间骨折患者，随机分为对照组与研究组。对照组采用动力髋螺钉内固定，研究组采用人工关节置换术。比较两组手术时间、
出血量、术后卧床时间及术后并发症情况。术后随访一年，采用Harris 关节功能评分评价关节恢复情况。结果：研究组卧床时间、并
发症发生率均低于对照组，两组组间差异均有统计学意义（P＜0.05）；术前两组Harris 关节功能评分差异无统计学意义（P＞
0.05），术后3 月、6 月、9 月、12 月，研究组Harris 关节功能评分均优于对照组，差异均有统计学意义（P＜0.05）；两组患者手术时
间、出血量、术后引流无明显差异(P>0.05)；研究组下地完全负重时间、住院时间短于对照组，差异有统计学意义（P＜0.05）。结论：
人工关节置换治疗老年人转子间骨折的方案可提高治疗效果，缩短卧床时间，减少并发症的发生，进一步提高了手术的成功率，
有较大的优越性和可行性。 |
| 英文摘要: |
| Objective:To investigate the clinical effect and functional recovery of hip joint in gerontal patient with intertrochanteric
fracture using artificial joint replacement method.Methods:70 cases of gerontal patient with intertrochanteric fracture in our hospital
fromNovember 2009 to November 2014 were selected, and then they were randomly divided into control group and research group. The
patients in control group were treated with dynamic hip screw via internal fixation method, and the patients in research group were given
artificial joint replacement. The operation time, blood loss, bed rest time and postoperative complications of the two groups were compared.
Follow-up for a year, the functional recovery of joints was evaluated by Harris.Results:The bed rest time and incidence rate of
complications postoperation in research group was significantly lower than that in control group (P＜0.05). Joint function score evaluated
by Harris before operation had no statistically significant differences in the two groups (P > 0.05), and there were statistically significant
differences in the two groups 3, 6, 9, 12 months after surgery (P < 0.05). The operation time and intraoperatve blood loss had no significant
difference between two groups (P＞0.05). The completely postoperative weight-bearing time and hospitalization days in research
group was significantly lower than in control group (P＜0.05).Conclusion:Using artificial joint replacement method in gerontal patient
with intertrochanteric fracture can improve the therapeutic effect, shorten the bed time, reduce the occurrence of complications and improve
the success rate of surgery, suggesting that artificial joint replacement method is worth to be promoting because of its feasibility
and superiority. |
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