摘要
目的探讨后路小切口髋关节置换术(PMIHR)治疗老年创伤性股骨颈骨折(FNF)的临床疗效。方法选取该院于2012年5月—2017年5月收治的80例FNF老年患者,按手术治疗方式不同分为2组,每组40例,对照组行外侧切口全髋关节置换术(THA),观察组行PMIHR治疗,对比两组患者术后视觉模拟评分(VAS)及6个月后临床治疗效果。结果观察组术后6个月优良率(72.50%)明显高于对照组(62.50%),两组比较差异有统计学意义(χ~2=3.11,P<0.05);观察组术后VAS评分[(2.22±0.25)分]较对照组[(2.77±0.36)分],明显低于后者,差异有统计学意义(t=2.15,P<0.05)。结论将PMIHR用于治疗老年FNF患者,创伤小,患者疼痛轻,临床应用价值高。
Objective To study the clinical curative effect of posterior mini-incision hip arthroplasty in treatment of senile traumatic femoral neck fracture.Methods 80 cases of FNF senile patients admitted and treated in our hospital from May 2012 to May 2017 were selected and divided into two groups with 40 cases in each,the control group were treated with THA,while the observation group were treated with PMIHR,and the VAS after surgery and the clinical treatment effect in 6 months after treatment were compared between the two groups.Results The excellent and good rate in 6 months after surgery in the observation group was obviously higher than that in the control group 72.50%vs 62.50%(χ^2=3.11,P<0.05),and the VAS score in the observation group was obviously lower than that in the control group[(2.22±0.25)points vs(2.77±0.36)points],the different was statistically significant(t=2.15,P<0.05).Conclusion The application of PMIHR in senile FNF patients can have a high clinical application value of small wound and mild pains.
作者
曹宏强
CAO Hong-qiang(Department of Orthopedics,Yanchang Hospital of TCM,Yan’an,Shaanxi Province,717100 China)
出处
《系统医学》
2019年第4期81-83,96,共4页
Systems Medicine
关键词
小切口髋关节置换术
老年
创伤性股骨颈骨折
Small incision hip arthroplasty
Senile
Traumatic femoral neck fracture
