中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2013年
9期
669-672
,共4页
韦宜山%刘万林%赵振群%白锐%李岱鹤
韋宜山%劉萬林%趙振群%白銳%李岱鶴
위의산%류만림%조진군%백예%리대학
髋脱位%移植,同种%移植,自体%治疗结果
髖脫位%移植,同種%移植,自體%治療結果
관탈위%이식,동충%이식,자체%치료결과
Hip dislocation%Transplantation,homologous%Transplantation,autologous%Treatment outcome
目的 评价同种异体骨加自体股骨混合骨移植在发育性髋关节脱位截骨术中的疗效.方法 对2004年10月至2006年10月51例(68髋)发育性髋关节脱位采用骨盆Pemberton截骨加股骨近端转子下短缩、内翻、旋转截骨术的患儿的临床资料行回顾性分析.手术分为自体髂骨加股骨移植组(A组)17例(25髋)和同种异体骨加自体股骨混合移植组(B组)34例(43髋).结果 术后随访5～8年,A、B两组骨性髋臼指数、CE角及Reimers指数得到明显改善.A组Mckay评定髋关节功能优良率为88.00％(22髋/25髋),B组为83.72％(36髋/43髋);A组Severin评定影像学优良率为76.00％(19髋/25髋),B组为74.42％(32髋/43髋);A组Eck评定植骨融合满意率为92.00％(23髋/25髋),B组为90.70％(39髋/43髋),两组比较差异均无统计学意义(x2＝0.001,P=1.000;x2=0.021,P＝0.885;x2＝0.033,P＝ 1.000).结论 同种异体骨加自体股骨混合骨移植在发育性髋关节脱位截骨术中是一种可靠的植骨方法,与自体髂骨临床效果相似.
目的 評價同種異體骨加自體股骨混閤骨移植在髮育性髖關節脫位截骨術中的療效.方法 對2004年10月至2006年10月51例(68髖)髮育性髖關節脫位採用骨盆Pemberton截骨加股骨近耑轉子下短縮、內翻、鏇轉截骨術的患兒的臨床資料行迴顧性分析.手術分為自體髂骨加股骨移植組(A組)17例(25髖)和同種異體骨加自體股骨混閤移植組(B組)34例(43髖).結果 術後隨訪5～8年,A、B兩組骨性髖臼指數、CE角及Reimers指數得到明顯改善.A組Mckay評定髖關節功能優良率為88.00％(22髖/25髖),B組為83.72％(36髖/43髖);A組Severin評定影像學優良率為76.00％(19髖/25髖),B組為74.42％(32髖/43髖);A組Eck評定植骨融閤滿意率為92.00％(23髖/25髖),B組為90.70％(39髖/43髖),兩組比較差異均無統計學意義(x2＝0.001,P=1.000;x2=0.021,P＝0.885;x2＝0.033,P＝ 1.000).結論 同種異體骨加自體股骨混閤骨移植在髮育性髖關節脫位截骨術中是一種可靠的植骨方法,與自體髂骨臨床效果相似.
목적 평개동충이체골가자체고골혼합골이식재발육성관관절탈위절골술중적료효.방법 대2004년10월지2006년10월51례(68관)발육성관관절탈위채용골분Pemberton절골가고골근단전자하단축、내번、선전절골술적환인적림상자료행회고성분석.수술분위자체가골가고골이식조(A조)17례(25관)화동충이체골가자체고골혼합이식조(B조)34례(43관).결과 술후수방5～8년,A、B량조골성관구지수、CE각급Reimers지수득도명현개선.A조Mckay평정관관절공능우량솔위88.00％(22관/25관),B조위83.72％(36관/43관);A조Severin평정영상학우량솔위76.00％(19관/25관),B조위74.42％(32관/43관);A조Eck평정식골융합만의솔위92.00％(23관/25관),B조위90.70％(39관/43관),량조비교차이균무통계학의의(x2＝0.001,P=1.000;x2=0.021,P＝0.885;x2＝0.033,P＝ 1.000).결론 동충이체골가자체고골혼합골이식재발육성관관절탈위절골술중시일충가고적식골방법,여자체가골림상효과상사.
Objective To evaluate the efficacy of allogeneic bone with autologous femoral bone graft in the treatment of developmental dysplasia of the hip(DDH).Methods Fifty-one patients (68 hips) of DDH who were treated with Pemberton acetabular osteotomy,proximal femoral subtrochanteric shortening and varus derotation osteotomy between October 2004 and October 2006 were retrospectively analyzed.There were 17 patients (25 hips) in group A (autologous iliac affiliate femoral graft group)and 34 patients (43 hips)in group B(allogeneic bone affiliate autologous femoral mixed graft group).Results All cases were followed up for 5 to 8 years.Bony acetabular index,CE angle and the Reimers index were significantly improved in group A and B.Good hip function was achieve in 88.00％ of the hips in group A and in 83.72％ of hips in group B according to the Mckay clinical criteria for hip function assessment.The good rate of radiology was 76.00％ in group A and 74.42％ in group B,according to Severin radiographic classification.The satisfaction rate of graft fusion was 92.00％ in group A and 90.70％ in group B,according to Eck classification.There were no significant difference between group A and B (x2 =0.001,P =1.000; x2 ＝ 0.021,P =0.885 ; x2 =0.033,P =1.000).Conclusions Mixed bone graft in DDH osteotomy is reliable and can get the similar clinical effects as autogenous iliac graft in the treatment of DDH.
