年龄对股骨颈骨折治疗的影响Age Factors Affecting the Treatment of fracture of Femoral Neck
刘蜀彬,孔祥星,赵大庆,常青,黄迅悟,荆海
摘要(Abstract)：
本文着重研究在55～70岁的股骨颈骨折的治疗选择。随访调查了66例股骨颈骨折患者,其中行内固定治疗32例(A组),人工关节置换治疗34例(B组),平均随访时间分别为83个月(A组)、69个月(B组)。调查结果显示,两组相比,内固定治疗住院时间短(27d:37d)、无痛率高(59.32％:23.5％)、术后卧床时间长(243d:49d)。两组的HARRIS评分及再次手术率无显著差别。并发症包括3例股骨头缺血性坏死,1例骨不连(A组);深部感染1例,假体松动2例,髋臼磨损2例(B组)。作者认为此年龄段患者,首先选择内固定治疗,人工关节置换的适应证是:体弱多病、有明显骨质疏松以及有不能配合内固定治疗并发症的患者。所有手术患者的术前危险评分必需低于20分。
关键词(KeyWords)： 年龄;股骨颈骨折;手术
基金项目(Foundation):
作者(Author): 刘蜀彬,孔祥星,赵大庆,常青,黄迅悟,荆海
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