医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2013年
21期
2811-2812,2822
,共3页
余涛%渠继武%史方悌%王炜%杜威%徐贤奇
餘濤%渠繼武%史方悌%王煒%杜威%徐賢奇
여도%거계무%사방제%왕위%두위%서현기
髋关节疾病%关节假体%陶对陶假体%临床疗效
髖關節疾病%關節假體%陶對陶假體%臨床療效
관관절질병%관절가체%도대도가체%림상료효
Hip joint disease%Joint prosthesis%Ceramic-ceramic prothesis%Clinical efficiency
目的:探讨应用陶对陶全髋关节假体行关节置换术治疗髋关节疾患的早期临床疗效及应用体会,指导临床合理规范应用该技术。方法:对27例(30髋)陶对陶全髋关节置换术后患者进行随访,应用Harris评分以评估髋关节功能,记录术后并发症等情况。结果:所有患者均获得随访,平均随访时间30(7~36)个月,30髋的 Harris髋关节评分平均从术前47(33~52)分到术后3年的86(57~97)分,最后一次随访时为95(62~100)分,2例患者术后轻微疼痛,无严重疼痛的发生。结论:陶对陶人工全髋关节置换术早期疗效令人满意。
目的:探討應用陶對陶全髖關節假體行關節置換術治療髖關節疾患的早期臨床療效及應用體會,指導臨床閤理規範應用該技術。方法:對27例(30髖)陶對陶全髖關節置換術後患者進行隨訪,應用Harris評分以評估髖關節功能,記錄術後併髮癥等情況。結果:所有患者均穫得隨訪,平均隨訪時間30(7~36)箇月,30髖的 Harris髖關節評分平均從術前47(33~52)分到術後3年的86(57~97)分,最後一次隨訪時為95(62~100)分,2例患者術後輕微疼痛,無嚴重疼痛的髮生。結論:陶對陶人工全髖關節置換術早期療效令人滿意。
목적:탐토응용도대도전관관절가체행관절치환술치료관관절질환적조기림상료효급응용체회,지도림상합리규범응용해기술。방법:대27례(30관)도대도전관관절치환술후환자진행수방,응용Harris평분이평고관관절공능,기록술후병발증등정황。결과:소유환자균획득수방,평균수방시간30(7~36)개월,30관적 Harris관관절평분평균종술전47(33~52)분도술후3년적86(57~97)분,최후일차수방시위95(62~100)분,2례환자술후경미동통,무엄중동통적발생。결론:도대도인공전관관절치환술조기료효령인만의。
Objective :To discuss early clinical efficacy and experience of ceramic-ceramic whole hip prosthesis for trea-ting hip joint disease so as to provide a guide for application of the technology .Methods :27 patients (30 hips) treated with ceramic ceramic whole hip replacement surgery were followed up ,including 20 cases of femoral head necrosis ,4 ca-ses of hip arthritis ,1 case of congenital hip dysplasia and 2 cases of traumatic osteoarthritis .All patients were evaluated by Harris hip score after surgery to assess the function and postoperative complications .Results:All patients were fol-lowed up well with an average follow-up of 30 months (7~36 months) ,the averaged Harris hip score increased from preoperative 47(33~52) points to postoperative 86(57~97) points after 3 years .Conclusion :The early clinical efficacy of ceramic-ceramic whole hip arthroplasty is satisfactory and for treating hip joint and further study is needed for long-term research .