骨水泥和非骨水泥型人工股骨双动头置换的临床疗效分析Treatment effects comparison of cemented and uncemented bipolar prostheses on displaced fracture of femoral neck in the elderly
高玉镭;田敏;王东辰;张新广;唐胜斌;崔存宝;李佩佳;
摘要(Abstract):
[目的]比较骨水泥型与非骨水泥型人工股骨双动头治疗老年移位型股骨颈骨折的疗效。[方法]本科2005年1月~2007年5月收治的股骨颈骨折(GardenⅢ、Ⅳ型)患者100例,其中男31例,女69例,年龄70~98岁,平均78.3岁。左髋52例,右髋48例。手术均为同一术者操作,全部患者随机分为两组,各50例,采用骨水泥和非骨水泥股骨假体治疗。术后随访5年。主要观察指标:手术时间,术中失血,并发症,视觉模拟评分,髋关节Harris评分、病死率和假体翻修率。组间比较采用两样本t检验,P<0.05为差异有显著性意义。[结果]骨水泥组手术时间平均57min,非骨水泥组平均47min,术中失血骨水泥组平均238ml,非水泥组230ml。视觉模拟评分及Harris评分两组无明显差异。手术并发症:非水泥组(28例)多于水泥组(21例)。两组均未见明显髋臼磨损。翻修非水泥组(2例)多于水泥组(1例)。随访各时间点的死亡率两组无明显差异。[结论]人工股骨双动头治疗老年股骨颈移位骨折,在手术时间上,非水泥组占优,并发症方面,骨水泥组占优,术中失血,视觉模拟评分,髋关节Harris评分,髋臼磨损率,病死率和假体翻修率方面两组没有显著差别。
关键词(KeyWords): 老年人;股骨颈骨折;骨水泥;非骨水泥;股骨头置换
基金项目(Foundation):
作者(Author): 高玉镭;田敏;王东辰;张新广;唐胜斌;崔存宝;李佩佳;
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