中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
27期
15-17
,共3页
老年股骨头缺血性坏死%全髋关节置换术%双极人工股骨头%分析对比
老年股骨頭缺血性壞死%全髖關節置換術%雙極人工股骨頭%分析對比
노년고골두결혈성배사%전관관절치환술%쌍겁인공고골두%분석대비
Senile ischemic necrosis of femoral head%Total hip replacement%Bipolar artificial femoral head%Analysis of contrast
目的：探讨分析老年人股骨头缺血性坏死（Avascular Necrosis of the Femo al Head ，ANFH）进行全髋关节置换术（THA）与双极人工股骨头置换术的临床治疗效果，并为临床治疗提供理论依据。方法：回顾性分析本院自2008年1月-2013年3月接收诊治的112例老年股骨头缺血性坏死临床治疗情况，将患者随机分为两组，A组采用全髋关节置换用术进行治疗，B组采用双极人工股骨头法治疗，比较两组患者手术时间、术中出血量、术后恢复可下地时间等指标。结果：A组患者术后可下地活动时间短于B组，B组手术时间和出血量显著低于A组（P<0.05），B组即双极人工股骨头置换术的整体治疗效果较好，经X线检查，坏死关节假体位置无位移、错位现象，未出现较严重感染，比较结果用统计学软进行处理。结论：临床采用全髋关节置换术和人工股骨头置换术对于治疗老年人股骨头缺血性坏死具有较好疗效，全髋关节置换术从长远上考虑全髋关节置换术优于双极人工股骨头置换术疗效，但需根据患者具体情况综合性分析最恰当治疗方式，指导临床治疗。
目的：探討分析老年人股骨頭缺血性壞死（Avascular Necrosis of the Femo al Head ，ANFH）進行全髖關節置換術（THA）與雙極人工股骨頭置換術的臨床治療效果，併為臨床治療提供理論依據。方法：迴顧性分析本院自2008年1月-2013年3月接收診治的112例老年股骨頭缺血性壞死臨床治療情況，將患者隨機分為兩組，A組採用全髖關節置換用術進行治療，B組採用雙極人工股骨頭法治療，比較兩組患者手術時間、術中齣血量、術後恢複可下地時間等指標。結果：A組患者術後可下地活動時間短于B組，B組手術時間和齣血量顯著低于A組（P<0.05），B組即雙極人工股骨頭置換術的整體治療效果較好，經X線檢查，壞死關節假體位置無位移、錯位現象，未齣現較嚴重感染，比較結果用統計學軟進行處理。結論：臨床採用全髖關節置換術和人工股骨頭置換術對于治療老年人股骨頭缺血性壞死具有較好療效，全髖關節置換術從長遠上攷慮全髖關節置換術優于雙極人工股骨頭置換術療效，但需根據患者具體情況綜閤性分析最恰噹治療方式，指導臨床治療。
목적：탐토분석노년인고골두결혈성배사（Avascular Necrosis of the Femo al Head ，ANFH）진행전관관절치환술（THA）여쌍겁인공고골두치환술적림상치료효과，병위림상치료제공이론의거。방법：회고성분석본원자2008년1월-2013년3월접수진치적112례노년고골두결혈성배사림상치료정황，장환자수궤분위량조，A조채용전관관절치환용술진행치료，B조채용쌍겁인공고골두법치료，비교량조환자수술시간、술중출혈량、술후회복가하지시간등지표。결과：A조환자술후가하지활동시간단우B조，B조수술시간화출혈량현저저우A조（P<0.05），B조즉쌍겁인공고골두치환술적정체치료효과교호，경X선검사，배사관절가체위치무위이、착위현상，미출현교엄중감염，비교결과용통계학연진행처리。결론：림상채용전관관절치환술화인공고골두치환술대우치료노년인고골두결혈성배사구유교호료효，전관관절치환술종장원상고필전관관절치환술우우쌍겁인공고골두치환술료효，단수근거환자구체정황종합성분석최흡당치료방식，지도림상치료。
Objective:To explore the elderly femoral head avascular necrosis(Avscular Necrosis of the Femoral Head,ANFH)for total hip arthroplasty(THA)and the clinical therapeutic effect of bipolar artificial femoral head replacement,and provide theoretical basis for clinical treatment. Method:112 cases of senile ischemic necrosis of femoral head of clinical treatment were analyzed retrospectively from January 2008 to March 2013, according to the condition divided the patients into two groups:group A with total hip replacement in treatment,group B used bipolar artificial femoral head treatment,compared two groups of patients with operation time,intraoperative blood loss,postoperative recovery down time differences. Result:Can be engaged in activities postoperatively in patients with group A was shorter than group B,group B operation time and blood loss was significantly lower than that of group A(P<0.05),group B was A bipolar artificial femoral head replacement was in A good treatment effect,by X-ray examination,necrosis of joint prosthesis position without displacement,dislocation phenomenon,did not appear more serious infection,compared the results with statistical soft for processing. Conclusion:Clinical use of artificial femoral head replacement and total hip replacement has good curative effect for treatment of the elderly ischemic necrosis,from the consideration on the long-term curative effect of total hip replacement is better than a bipolar artificial femoral head replacement,but need to comprehensive analysis on the basis of the condition of the patients with the most appropriate treatment and guide clinical treatment.
