崔贤在

[摘要] 目的 比较空心钉内固定和人工股骨头置换术对老年移位性股骨颈骨折的治疗效果。 方法 随机选取在该院2006年7月—2018年8月期间治疗的100例老年移位性股骨颈骨折患者根据治疗方式差异分为对照组和实验组，对照组通过空心钉内固定手术治疗，实验组通过人工股骨头置换术治疗，比较两组患者的治疗效果。 结果 术中出血量，实验组（94.2±12.4）mL低于对照组（275.1±35.3）mL（t=34.189，P=0.000）;手术时间，实验组（55.1±12.1）min少于对照组（97.2±33.6）min（t=8.336，P=0.000）;住院天数，实验组（9.2±3.5）d短于对照组（13.7±4.5）d（t=5.582，P=0.000）。髋部骨折恢复，实验组（87.2±11.6）分优于对照组（81.2±10.7）分（t=2.688，P=0.008）;生活质量，实验组（0.65±0.33）分优于对照组（0.55±0.13）分（t=1.994，P=0.049）。并发症发生率，实验组2%低于对照组14%（t=4.891，P=0.027）。 结论 人工股骨头置换术治疗老年移位型股骨颈骨折相比空心钉内固定术具有明显优势。

[关键词] 内固定;股骨头置换术;股骨颈骨折

[Abstract] Objective To compare the effects of hollow nail internal fixation and artificial femoral head replacement on elderly patients with displaced femoral neck fractures. Methods Randomly selected 100 elderly patients with displaced femoral neck fractures treated in the hospital from July 2006 to August 2018 were divided into the control group and the experimental group according to the difference in treatment methods. The control group was treated with hollow nail internal fixation surgery and the experimental group. Through artificial femoral head replacement surgery， the treatment effects of the two groups of patients were compared.Results The intraoperative blood loss was lower in the experimental group （94.2±12.4） mL than in the control group （275.1±35.3） mL （t=34.189， P=0.000）; the operation time was less in the experimental group （55.1±12.1） min than in the control group （97.2±33.6）min （t=8.336， P=0.000）; The length of hospital stay was shorter in the experimental group （9.2±3.5） d than in the control group（13.7±4.5）d（t=5.582， P=0.000）. Hip fracture recovery， the experimental group （87.2±11.6） points were better than the control group （81.2±10.7） points （t=2.688， P=0.008）; the quality of life， the experimental group （0.65±0.33） points were better than the control group （0.55±0.13）points （t=1.994， P=0.049）. The complication rate was 2% lower in the experimental group than 14% in the control group （t=4.891， P=0.027）. Conclusion Artificial femoral head replacement has obvious advantages compared with hollow nail internal fixation for elderly patients with displaced femoral neck fractures.

[Key words] Internal fixation; Femoral head replacement; Femoral neck fracture

股骨頸骨折在临床当中比较常见，通常通过空心钉内固定和人工股骨头置换术两种方式进行治疗。但是老年移位性股骨颈骨折术后存在的风险比较高，因此选择哪种方式能够保证治疗效果，降低对患者产生的影响一直存在争论。近几年，针对老年股骨颈骨折患者开始更多使用人工股骨头置换手术和空心钉内固定手术，基本都取得了令人满意的效果。现随机选取2006年7月—2018年8月期间的100例老年移位性股骨颈骨折患者进行对比研究，探究两种手术方式对老年移位性股骨颈骨折的治疗效果，现报道如下。

1  资料与方法

1.1  一般资料

随机选取100例老年移位性股骨颈骨折患者进行研究。……