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全髋与半髋关节置换治疗老年人移位型股骨颈骨折对比分析 被引量：12

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摘要 目的前瞻性比较全髋关节置换术与半髋关节置换术治疗老年人移位型股骨颈骨折的临床疗效。方法随机方法将97例老年人移位型股骨颈骨折患者分为全髋关节置换组(47例)和半髋关节置换组(40例)。结果术后12个月及24个月随访,两组患者在Harris评分、死亡率、再手术率、关节脱位率方面差异无统计学意义(P>0.05)。全髋关节置换(THA)组患者的手术时间(102±13.2)min长于半髋关节置换(HA)组(88±10.4)min(P=0.0024)。THA组患者的失血量(460±55.1)mL大于HA组(325±45.9)mL(P=0.0041)。THA组患者的住院时间(22±2.9)d长于HA组(20±2.4)d(P=0.0013)。结论全髋关节置换术与半髋关节置换术治疗老年人移位型股骨颈骨折术后功能恢复情况、并发症发生情况及治疗效果相当。但考虑半髋关节置换术花费更低、损伤更小,我们推荐采用半髋关节置换术。
作者 郑木平
机构地区 广东省深圳市南山区西丽人民医院骨科
出处 《宁夏医科大学学报》 2012年第8期824-826,共3页 Journal of Ningxia Medical University
关键词 全髋关节置换术 半髋关节置换术 老年人 移位型股骨颈骨折 随机对照研究
分类号 R687.42 [医药卫生—骨科学]
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参考文献10

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同被引文献89

引证文献12

二级引证文献43

宁夏医科大学学报
2012年 第8期

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