曲强

【摘要】 目的：分析股骨颈骨折的临床治疗方案及相应的术后临床效果。方法：选取本院骨科2012年3月-2013年3月收治的264例老年股骨颈骨折患者，按照随机数字表法将其分为治疗组和对照组各132例。治疗组采用人工髋关节置换术进行治疗，对照组采用传统内固定术式进行治疗，比较两组患者的临床疗效、术后住院时间和术后并发症发生率，并对术后人工髋关节置换翻修的原因进行分析，探讨相关的翻修技术。结果：治疗组的治疗总有效率100%明显优于对照组的84.8%，且治疗组的术后住院时间明显短于对照组，并发症发生率明显低于对照组，比较差异均有统计学意义（P<0.05）；关于人工置换的髋关节翻修的原因，放在首位的是假体松动、假体周围发生骨溶解，其次是人工股骨头引起的髋臼磨损，此外尚有手术操作失误、术后感染等原因。结论：人工髋关节置换术对老年股骨颈骨折临床治疗效果显著，且术后并发症少，有效缩短患者的住院时间。在进行翻修术的过程中，应当合理的选择髋臼的修复、重建方法，但最重要的是保证初次手术的质量。

【关键词】 人工髋关节置换术； 老年股骨颈骨折； 临床效果

The Clinical Treatment Effect of Femoral Neck Fracture Postoperative/QU Qiang.//Medical Innovation of China，2014，11（01）：079-081

【Abstract】 Objective：To analyze the clinical treatment program of femoral neck fracture and the corresponding postoperative clinical results.Method：Two hundred and sixty-four older patients with femoral neck fracture from March 2012 to March 2013 in our hospital were randomly divided into the treatment group and the control group，132 cases in each group.The treatment group was given total hip arthroplasty for the treatment and the control group was given the traditional surgical fixation for treatment.The clinical efficacy，postoperative hospital stay and postoperative complication rate comparison of the two groups were compared.The causes of revision hip replacement surgery were analyzed.And renovation related technologies were explored.Result：The total efficiency of treatment group was 100%，it was significantly higher than 84.8% of the control group.Postoperative hospitalization time of treatment group was shorter than the control group，the complication rate was significantly lower than the control group，the differences were statistically significant（P<0.05）.Hip revision reasons about artificial replacement，in the first place was loosening，periprosthetic osteolysis occurred，followed by the femoral head caused by acetabular wear.In addition there were surgical procedures mistakes，postoperative infection and other causes.Conclusion：Hip arthroplasty for older patients with femoral neck fracture have clinically significant treatment effect and fewer complications，can shorten the patient's hospital stay.During the process of revision surgery，it should be a reasonable choice acetabular repair，reconstruction methods，but the most important thing is to ensure the quality of the initial surgery.

【Key words】 Hip arthroplasty； Femoral neck fracture； Clinical effect

First-authors address：The Peoples Hospital of Longkou City，Longkou 265701，China

doi：10.3969/j.issn.1674-4985.2014.01.038

随着我国生活水平的提高和国人生活理念的改变，以及高分子生物材料的研发和临床应用都有了长足的发展，所以，人工髋关节置换技术也在临床医学中得到了广泛的应用。但早期由于假体的设计、制造、材料，和当时的手术水平等条件制约，出现了脱位、假体松动、磨损断裂、感染等问题导致髋关节的疼痛和障碍。而人工髋关节翻修术能够有效地改善以上问题，提高患者的生活质量[1]。伴随高分子生物材料的研发和临床应用都有了长足的发展，使得人工髋关节置换技术也在临床医学中得到了广泛的应用。但早期由于假体的设计、制造、材料和当时的手术水平等条件制约，出现了脱位、假体松动、磨损断裂、感染等问题导致髋关节的疼痛和障碍。……