股骨颈骨折43例临床治疗分析

目的对股骨颈骨折的临床治疗方法进行探讨。方法选择本院2010年3月～2011年8月收治的股骨颈骨折患者43例，治疗为手术和保守两种治疗方法，对其临床资料进行回顾性分析，对两种治疗方法的效果进行比较。结果43例患者保守治疗13例，占30．23％，其中骨折愈合良好占15．38％，骨折延迟愈合占69．23％，不愈合占15．38％；骨折后并发症发生率为46．15％。手术患者30例，占69．77％，术后按Johner—Wruhp法评分，优良率为96．67％，其中骨折正常愈合占83．33％，骨折延迟愈合占13．33％，不愈合占3．33％；骨折后并发症发生率为3．33％。保守治疗与手术治疗骨折愈合和并发症发生率差异具有统计学意义（χ^2=4．261，χ^2=2．869;P〈0．05）．结论从治疗效果相比较，股骨颈骨折手术治疗要优于保守治疗，但由于老年人多发生股骨颈骨折，可能会出现患者不能耐受手术的情况，故应该根据患者的身体状况以及骨折的严重程度选择不同的治疗方法。

Clinical treatment analysis of 43 cases of femoral neck fracture

Objective To discuss the clinical treatment of fractures of the femoral neck. Methods Forty-three eases of patients with femoral neck fracture in our hospital from 2010 March to 2011 August were selected, operation and con- servative treatment of two treatment methods, retrospective analyzed of the clinical data, two kinds of treatment effect were compared. Results Thirteen cases of conservative treatment in the 43 patients, accounted for 30.23%, of which all fractures healed well accounted for 15.38%, accounting for 69.23% of fracture delayed union, nonunion of fracture accounted for 15.38%; the incidence rate of complications was 46.15%. Operation in 30 eases, accounting for 69.77%, postoperative Johner-Wruhp score, the excellent and good rate was 96.67%, which accounted for 83.33% of normal fracture healing, delayed healing of fracture nonunion accounted for 13.33%, accounted for 3.33%, fracture complica tion rate was 3.33%. Conservative treatment and operation treatment of fracture healing and complication rate was significant difference （χ^2=4.261, χ^2=2.869; P 〈 0.05）. Conclusion From the therapeutic effect comparison, operation treatment is superior to conservative treatment of femoral neck fracture, but because of the elderly femoral neck frac- tures, may occur in patients who cannot tolerate the operation, it should be according to the severity of the patients health and fracture to choose different treatment methods.