80岁以上老年人髋部骨折的手术治疗:附117例临床分析 |
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引用本文: | 张华铸 赵东林. 80岁以上老年人髋部骨折的手术治疗:附117例临床分析[J]. 中华老年医学杂志, 1997, 16(2): 96-98 |
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作者姓名: | 张华铸 赵东林 |
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作者单位: | 卫生部北京医院骨科,北京航天部七三一医院骨科 |
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摘 要: | 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。
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关 键 词: | 髋骨折/外科学 生活质量 |
The operative treatment of hip fracture in patients over 80 years old: a report of 117 cases |
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Abstract: | 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. |
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Keywords: | hip fractures quality of life |
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