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高龄髋部骨折的临床分析
Hits: 1774   Download times: 1259   Received:December 09, 2008    
作者Author单位UnitE-Mail
毛敦 MAO Dun 苏州枫桥人民医院骨科,江苏 苏州 215000 Departmant of Orthopaedics,the People's Hospital of Fengqiao,Suzhou 215000,Jiangsu,China maodun12345@sina.com 
期刊信息:《中国骨伤》2009年22卷,第7期,第511-512页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨高龄老人髋部骨折的治疗方法和疗效。

方法:自2001年至2006年,分析高龄(75岁以上)髋部骨折136例的治疗及结果。其中男37例,女99例;年龄75~97岁,90岁以上6例,最高97岁,平均年龄78.9岁。136例均伴有多种内科慢性疾病。采用非手术治疗34例,手术治疗102例。

结果:随访136例骨折后1年内的治疗效果,手术治疗组1年内死亡9例,死亡率8.82%;非手术组1年内死亡23例,死亡率67.65%.

结论:手术治疗高龄髋部骨折能有效减少并发症,降低死亡率,如能顺利度过围手术期,则能显着提高患者伤后生活质量,满足生活要求。
[关键词]:髋骨折  老年人,80岁以上  骨科手术方法  死亡率
 
Therapeutic effects for the treatment of senile hip fractures
Abstract:

Objective: To explore the surgical methods and therapeutic effects for the treatment of senile hip fractures.

Methods: From 2001 to 2006,136 senility patients(over 75 years old) were reviewed in the study. Among the patients,37 patients were male and 99 patients were female,ranging in age from 75 to 97 years,with an average of 78.9 years(6 patients over 90 years,and the highest age was 97 years). All the patients were combined with chronicity internal medicine diseases. Thirty-four patients were treated with non-operative method and other 102 patients were treated with operative method.

Results: All the patients were followed up for an average of 12 months. In operation group,9 patients were dead within 1 year,and the mortality was 8.82%. And in non-operation group,23 patients were dead within 1 year,and the mortality was 67.65%.

Conclusion: Operation treatment for senile hip fractures was effective to reduce complications,lower mortality. If the patients can pull though the perioperative period successfully,the quality of life will be enhanced remarkably.
KEYWORDS:Hip fractures  Aged,80 and over  Orthopaedics operative methods  Mortality
 
引用本文,请按以下格式著录参考文献:
中文格式:毛敦.高龄髋部骨折的临床分析[J].中国骨伤,2009,22(7):511~512
英文格式:MAO Dun.Therapeutic effects for the treatment of senile hip fractures[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(7):511~512
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