内固定法与关节置换法治疗老年患者骨质疏松合并股骨粗隆间骨折
Comparison of Internal Fixation and Arthroplasty in the Treatment of Osteoporosis Complicated with Intertrochanteric Fractures in Elderly Patients
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摘要: 目的 探讨内固定法与关节置换法治疗老年骨质疏松合并股骨粗隆间骨折的临床疗效并对比内固定法与关节置换法的疗效.方法 选择曲靖市第二人民医院自2014年1月至2016年1月收治的老年骨质疏松合并股骨粗隆间骨折的患者78例,根据治疗方式随机分为实验组(髋关节置换手术)和对照组(内固定手术),分别采用关节置换法与内固定法进行治疗,对2组的临床疗效、骨密度值及并发症等情况进行对比.结果 经治疗后,实验组的总有效率为86.78%,对照组的总有效率为65.87%,实验组的总有效率明显高于对照组,差异具有统计学意义.治疗后,2组的骨密度值均明显提高,但实验组的骨密度值明显高于对照组(P<0.05),差异具有统计学意义.此外实验组并发症发生率明显低于对照组(P<0.05),差异具有统计学意义.结论 关节置换法治疗老年骨质疏松合并股骨粗隆间骨折较内固定法更为优良,临床效果显著,能够有效提高患者的生活质量,值得临床广泛应用、推广.Abstract: Objective To investigate the clinical effects of internal fixation and joint replacement in the treatment of osteoporosis complicated with intertrochanteric fractures of the elderly and compare the effects of internal fixation and joint replacement. Methods Seventy-eight elderly patients with osteoporotic intertrochanteric fractures treated in our hospital from January 2016 to December 2016 were randomly divided into two groups according to the treatment: the experimental group(hip replacement operation) and the control group(internal fixation Surgery), were treated with joint replacement and internal fixation, the two groups of clinical efficacy, bone mineral density values and complications were compared. Results After treatment, the total effective rate of the experimental group was86.78%, the total effective rate of the control group was 65.87%, the total effective rate of the experimental group was significantly higher than the control group, the difference was statistically significant. After treatment, the BMD values of the two groups were significantly increased, but the experimental group of bone mineral density was significantly higher than the control group(P<0.05), the difference was statistically significant. In addition, the incidence of complications in the experimental group was significantly lower than the control group(P<0.05), the difference was statistically significant. Conclusion Joint replacement of osteoporotic treatment of osteoporosis with intertrochanteric fractures is more excellent than the internal fixation, has significant clinical effect, can effectively improve the quality of life of patients,so it should be widely used in clinical practice.
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