苗峰田 贾瑞霞

[摘要] 目的 探討人工髋关节置换术应用于髋关节股骨颈骨折临床治疗中的效果，为临床应用提供参考意见。 方法 方便选取该院2013年1月—2017年1月所收治髋关节股骨颈骨折患者122例，随机分为研究组和对照组。研究组61例，采用人工髋关节置换术；对照组61例，采用常规内固定手术治疗。比较两组临床疗效、并发症发生情况及髋关节Harris评分。 结果 研究组采用全髋关节置换术后，疗效优秀者36例、良好者19例，其优良率为90.16%，显著优于对照组的25例、20例及73.77%，差异有统计学意义（χ2=4.492，P<0.05）。研究组采用全髋关节置换术后，仅发生1例骨质疏松、0例下肢深静脉血栓、1例褥疮及1例尿路感染，其并发症发生率为4.92%，显著低于对照组的22.95%，差异有统计学意义（χ2=6.835，P<0.01）。治疗前，两组髋关节Harris评分差异无统计学意义（P>0.05）；治疗后，研究组髋关节Harris评分为（90.26±2.57）分、对照组为（70.33±4.16）分，均显著高于治疗前，差异有统计学意义（t=73.361、34.313，P<0.01）；其中，研究组治疗后评分显著高于对照组，差异有统计学意义（t=31.833，P<0.01）。 结论 人工髋关节置换术应用于髋关节股骨颈骨折临床治疗中，临床疗效肯定，术后并发症更少，髋关节功能康复质量更高，可显著提升患者预后质量，值得临床推广应用。

[关键词] 人工髋关节置换术；髋关节骨折；疗效

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）01（a）-0010-03

Clinical Analysis of Artificial Hip Replacement for Treatment of Hip Fracture

MIAO Feng-tian， JIA Rui-xia

Department of Bone Surgery， Dongchangfu Peoples Hospital， Liaocheng， Shandong Provincce， 252002 China

[Abstract] Objective This paper tries to investigate the effect of artificial hip replacement in the treatment of hip fracture， and to provide reference for clinical application. Methods 122 cases of fracture of hip joint were treated in the hospital from January 2013 to January 2017. They were randomly divided into the study group and the control group. In the study group， 61 cases were treated with artificial hip replacement， while 61 cases in the control group were treated with conventional internal fixation. The clinical efficacy， complications and hip Harris score were compared between the two groups. Results The research group used after total hip arthroplasty， 19 cases of excellent， good in 36 cases， the excellent rate was 90.16%， significantly better than the control group of 25 cases， 20 cases and 73.77%， the difference was statistically significant （χ2=4.492，P<0.05）. The research group used after total hip arthroplasty， only 1 cases of osteoporosis， 0 cases of lower extremity deep venous thrombosis， 1 cases of bedsore and urinary tract infection in 1 cases， the complication rate was 4.92%， significantly lower than the control group 22.95%， the difference was statistically significant （χ2=6.835，P<0.01）. Before treatment， there was no significant difference between the two groups of Harris hip score（P>0.05）； after treatment， the study group Harris hip score was （90.26±2.57） points and control group （70.33±4.16）points， were significantly higher than that before treatment， with significant difference （t=73.361， 34.313，P<0.01）； in the study group after treatment were significantly higher than those in control group， with significant difference（t=31.833，P<0.01）. Conclusion The application of artificial hip arthroplasty for hip fracture in clinical treatment has clinical curative effect， less postoperative complications， hip function rehabilitation of higher quality， can significantly improve the prognosis of patients， worthy of clinical application.

[Key words] Total hip replacement； Hip fracture； Curative effect

髋关节是由股骨头和髋臼相对构成，属于杵臼关节。在遭受高能量损伤后，可发生髋关节股骨颈骨折、血管神经损伤，甚至是在骨折关节处遗留较多碎骨块，临床治疗难度较大，而一旦治疗不当，则极易导致髋关节无法愈合，致使股骨头坏死、髋关节功能障碍等后遗症发生，严重影响患者生活质量[1]。人工髋关节置换术可有效避免股骨头坏死、骨折愈合不良，临床价值肯定。该研究通过方便选取该院2013年1月—2017年1月所收治髋关节股骨颈骨折患者122例为研究对象，比较人工髋关节置换术与常规内固定术疗效差异，为临床应用提供参考价值，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的髋关节股骨颈骨折患者122例，随机分为研究组和对照组。……