摘要
本文作者报告了８１例高龄髋部骨折患者的手术治疗结果。其中８０～８９岁６８例，９０～９５岁１３例。股骨颈骨折３１例，股骨转子间骨折５０例。伴有并存病７８例，３种以上并存病者４２例。并存病中以心血管病为主，其次为脑血管病、肾功能差及糖尿病。股骨颈骨折者行三翼钉内固定与人工股骨头置换。转子间骨折者行麦氏鹅头钉与加压滑动鹅头钉固定。本组无术中死亡病例。７５例平均随访３１个月。疼痛消失，功能好与恢复生活自理能力者５３例，占７１％；恢复部分生活自理者１６例；仍有痛，不能下地活动与生活自理者６例。
AbstractThe treatment of hip fracture in 81 cases of elderly(age rangeed from 80 to 95)were reviewed.13 ofthem were over 90 vears old and 42(52%)were ac-companied with more than three preexistent dieases,mainly cardiovascular and cerebrovascular diseases.The femoral neck fracture(31 cases)were treated bySmith-petersen nail or femoral head prosthesis replace-ment,the intertrochanteric fracture of femur(50cases)were treated by McLaughlin or Richard nail.24cases(29.6%)had post-operative complications,e.g.pneumonia in 9 cases,cerebrovascular disease in 7 cas-es,cardio-vasculardisease in 5 cases.Most of themrecovered promptly after appropriate treatment.5 pa-tients died of pneumonia,the mortality is 6%. Internalfixation of hip fractures in elderly is one of very impor-tant methods of relieving pain,lowering morbidity andmortality,and early recovery of motion and normaldaily life. It is believed that the proper evaluation ofpatient’s general condition, appropriate treatment ofpreexistent disease,smooth anesthesia,skillful tech-nique and intensive nursing care are needed for gettinggood results. The large majority of them will toleratethe operation nicely,even in high risk.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1994年第4期204-206,共3页
Chinese Journal of Surgery
