[Comparison of the prognosis of XXXX with different surgical methods in elderly: a retrospective survival analysis].

@entity1 @entity173 @entity1538
OBJECTIVE: To determine the difference of post-operative mortality between @entity1538 ( @entity1538 ) and hip replacement for the treatment of @entity173 in elderly by using survival analysis. METHODS: The clinical data of 110 @entity1 above 60 years old who underwent surgical treatment ( @entity1538 or hip replacement) for the @entity173 between April 2003 and May 2013 were retrospectively analyzed. Among the @entity1 , 83 cases were treated with @entity1538 ( @entity1538 group), there were 32 males and 51 females, aged from 61.44 to 98.75 years old with an average of (78.52    7.98) years old; and 27 cases were treated with hip replacement (arthroplasty group), there were 8 males and 19 females, aged from 71.82 to 96.54 years old with an average of (79.99    6.11) years old. A survival analysis was performed on the clinical data by using SPSS 110 software. The survival rate of 1-year,2-year, 5-year and the mean survival time for the total @entity1 , the mortality rate of 1-year, 2-year in each group, the survival rate of 1-year, 2-year and mean survival time and survival curve in each group were included. RESULTS: All wounds achieved primary healing and no deaths were found in stay hospital. All @entity1 were followed up from 1 to 125 months with an average of (46.93    29.53) months. Among all 110 cases, 31 were dead and 79 survived. The survival rate of 1-year, 2-year and 5-year was (90.7    2.8)%, (82.5    3.9)% and (57.6    6.5)%, respectively,while the ensemble mean survival time was (84.137    5.902) months. The mortality rate of 1-year, 2-year in @entity1538 group was 7.2% and 12.0%, respectively; and in arthroplasty group, there was 14.8% and 25.9%, respectively. There was no significant difference in mortality rate of 1-year and 2-year between two groups. According to the survival analysis of the @entity1538 group, the survival rate of 1-year, 2-year was (92.6    2.9)%, and (85.8    4.3)%, respectively, and the mean survival time was (87.508    6.063) months. In arthroplasty group, the survival rate of 1-year, 2-year was (85.2    6.8)% and (73.9    8.5)%,and the mean survival time was (67.294    11.180) months. There was significant difference in mean survival time between two groups (P < 0.05). CONCLUSION: @entity1538 can achieve a better postoperative survival compare with hip replacement in treating @entity173 in elderly.
