中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
2期
188-190
,共3页
郭哲%王辉%桂召柳%毛路%童力%陈辉海%赵广超%曹松松%吴天亮%权良忠
郭哲%王輝%桂召柳%毛路%童力%陳輝海%趙廣超%曹鬆鬆%吳天亮%權良忠
곽철%왕휘%계소류%모로%동력%진휘해%조엄초%조송송%오천량%권량충
全髋关节置换术%人工关节%并发症
全髖關節置換術%人工關節%併髮癥
전관관절치환술%인공관절%병발증
Total hip replacement%Artificial joint%Complications
目的 评价新鲜股骨颈骨折、陈旧性股骨颈骨折、股骨头无菌性坏死、髋关节骨性关节炎四种较常见的髋关节伤病,经人工全髋关节置换术治疗的疗效和并发症,为术前适应证的选择及疗效分析提供指导.方法 回顾性分析104例行人工全髋关节置换术患者的临床资料,根据病种进行分组:新鲜股骨颈骨折组32例(30.8%),陈旧性股骨颈骨折组22例(21.1%),股骨头无菌性坏死组34例(32.7%),髋关节骨性关节炎组16例(15.4%),术后随访12.0～144.0个月,各组进行手术前后Harris评分和术后并发症统计.结果 新鲜股骨颈骨折组、陈旧性股骨颈骨折组、股骨头无菌性坏死组、髋关节骨性关节炎组术后Harris评分分别为(92.6±5.8)、(90.1±5.2)、(86.3±4.6)、(81.9±4.1)分,较术前(25.6±1.8)、(36.7±2.6)、(52.9±4.3)、(42.1±3.8)分均有大幅提高(P均＜0.05).结论 人工全髋关节置换术对以上四种髋关节疾病均具有良好疗效,具有住院时间短、恢复快、治愈率高及降低并发症发生等特点,强调要重视并发症的防治.
目的 評價新鮮股骨頸骨摺、陳舊性股骨頸骨摺、股骨頭無菌性壞死、髖關節骨性關節炎四種較常見的髖關節傷病,經人工全髖關節置換術治療的療效和併髮癥,為術前適應證的選擇及療效分析提供指導.方法 迴顧性分析104例行人工全髖關節置換術患者的臨床資料,根據病種進行分組:新鮮股骨頸骨摺組32例(30.8%),陳舊性股骨頸骨摺組22例(21.1%),股骨頭無菌性壞死組34例(32.7%),髖關節骨性關節炎組16例(15.4%),術後隨訪12.0～144.0箇月,各組進行手術前後Harris評分和術後併髮癥統計.結果 新鮮股骨頸骨摺組、陳舊性股骨頸骨摺組、股骨頭無菌性壞死組、髖關節骨性關節炎組術後Harris評分分彆為(92.6±5.8)、(90.1±5.2)、(86.3±4.6)、(81.9±4.1)分,較術前(25.6±1.8)、(36.7±2.6)、(52.9±4.3)、(42.1±3.8)分均有大幅提高(P均＜0.05).結論 人工全髖關節置換術對以上四種髖關節疾病均具有良好療效,具有住院時間短、恢複快、治愈率高及降低併髮癥髮生等特點,彊調要重視併髮癥的防治.
목적 평개신선고골경골절、진구성고골경골절、고골두무균성배사、관관절골성관절염사충교상견적관관절상병,경인공전관관절치환술치료적료효화병발증,위술전괄응증적선택급료효분석제공지도.방법 회고성분석104례행인공전관관절치환술환자적림상자료,근거병충진행분조:신선고골경골절조32례(30.8%),진구성고골경골절조22례(21.1%),고골두무균성배사조34례(32.7%),관관절골성관절염조16례(15.4%),술후수방12.0～144.0개월,각조진행수술전후Harris평분화술후병발증통계.결과 신선고골경골절조、진구성고골경골절조、고골두무균성배사조、관관절골성관절염조술후Harris평분분별위(92.6±5.8)、(90.1±5.2)、(86.3±4.6)、(81.9±4.1)분,교술전(25.6±1.8)、(36.7±2.6)、(52.9±4.3)、(42.1±3.8)분균유대폭제고(P균＜0.05).결론 인공전관관절치환술대이상사충관관절질병균구유량호료효,구유주원시간단、회복쾌、치유솔고급강저병발증발생등특점,강조요중시병발증적방치.
Objective To evaluate the clinical effect and complications of total hip replacement (THR) in novel femoral neck fracture,old femoral neck fracture, aseptic necrosis of femoral head and coxa degenerative osteoarthropathy. To provide instructions to surgical indications and treatment effects analysis.Methods One hundrde and four patients were divided into 4 groups by disease type: novel femoral neck fracture group (n = 32 ), old femoral neck fracture group (n = 22) ,aseptic necrosis of femoral head group (n =34) and coxa degenerative osteoarthropathy group (n = 16). These patients were followed-up for 12 - 144 months after THR, their Harris standard score and complications data, before and after operation, were analyzed retrospectively. Results After operation, the Harris standard scores were 92. 6 ± 5.8,90. 1 ± 5. 2,86. 3 ± 4. 6,81.9 ±4. 1 in novel femoral neck fracture,old femoral neck fracture,aseptic necrosis of femoral head and coxa degenerative osteoarthropathy groups respectively, which were significantly higher than the scores before operation (25.6±1.8,36.7±2.6,52.9±4.3,42. 1 ±3.8,Ps ＜0.05). Conclusion THR has good effects in the four types of diseases. Short length of stay and high healing rate are marked characteristics of THR. More attention shoud be paid to the complications of THR.
