80岁以上老年人髋部骨折的手术治疗：附117例临床分析

目的通过对１１７例８０岁以上老年人髋部骨折手术治疗临床分析，探讨其手术的必要性、可行性、手术指征及禁忌证。方法回顾性分析１１７例患者的术前并存症、术前准备、手术方式、术中情况、术后处理及随访情况。结果本组无术中死亡病例，平均住院时间为２３天。１０７例获得随访，随访率９１．５％，平均随访２８个月。预后：良（疼痛消失，功能好，恢复生活自理能力）７７例，占７２．０％；尚可（恢复部分生活自理能力）２１例，占１９．６％；差（仍有疼痛，不能下地活动，生活不能自理）９例，占８．４％。结论８０岁以上老年人髋部骨折的手术治疗是安全可行的。

The operative treatment of hip fracture in patients over 80 years old: a report of 117 cases

Objective The necessity,possibility,indications and contraindications of operative treatment of hip fracture in elderly were shown by aclinical study of 117 cases. Methods The preexistent diseases,preoperative preparation,postoperative management and follow up results of the 117 cases over 80 years old with hip fracture were reviewed. Results No patient died during operation.The average stay in hospital was 23 days.One hundred and seven patients(91 5%)received follow up examination.The average follow up period was about 28 months.Seventy seven patients(72 0%) had excellent recovery,which means complete relief of pain and selfcare of daily life.Twenty one patients(19 6%)had good recovery,as the improvement in ability of selfcare was only partial.Nine patients(8 4%)could not take care of daily life themselves,so their recovery was considered as poor. Conclusions These results suggest that operative treatment of hip fracture in elderly is safe and possible.