CAJ | 학술논문

目的：观察人工全髋关节置换术治疗成人股骨头缺血性坏死的临床疗效。方法回顾性分析2011年6月至2012年6月我院收治的86例股骨头缺血性坏死患者临床资料，所有患者均采用人工全髋关节置换术，将其随机分为两组，观察组43例患者使用骨水泥型假体进行治疗，对照组43例患者使用非骨水泥型假体进行治疗，比较两组患者的临床疗效及不良反应。结果两组患者经治疗后，病情均得到改善，1年后对两组患者髋关节进行功能评价，两组优良率比较差异无统计学意义（P ＞0.05）。结论人工全髋关节置换术治疗成人股骨头缺血性坏死可迅速重建髋关节功能，维持下肢正常功能，可降低患者肢体残疾程度，对改善患者的生活质量具有重要的临床意义，是目前治疗股骨头坏死的首选方法。
목적：관찰인공전관관절치환술치료성인고골두결혈성배사적림상료효。방법회고성분석2011년6월지2012년6월아원수치적86례고골두결혈성배사환자림상자료，소유환자균채용인공전관관절치환술，장기수궤분위량조，관찰조43례환자사용골수니형가체진행치료，대조조43례환자사용비골수니형가체진행치료，비교량조환자적림상료효급불량반응。결과량조환자경치료후，병정균득도개선，1년후대량조환자관관절진행공능평개，량조우량솔비교차이무통계학의의（P ＞0.05）。결론인공전관관절치환술치료성인고골두결혈성배사가신속중건관관절공능，유지하지정상공능，가강저환자지체잔질정도，대개선환자적생활질량구유중요적림상의의，시목전치료고골두배사적수선방법。
Objective observation of artificial total hip replacement clinical curative effect for the treatment of adult ischemic necrosis of femoral head. Methods analyzed retrospectively from June 2011 to June 2012, our hospital clinical data of 86 patients with ischemic necrosis of femoral head, all patients were using artificial total hip joint replacement, which were randomly divided into two groups, observation group of 43 patients with bone cement type prosthetic treatment, control group of 43 patients with non bone cement prosthesis treatment, compared two groups of patients with the clinical curative effect and adverse reactions. Result two groups of patients after treatment, the illness have improved, 1 years later on two groups of patients with hip function evaluation, no statistically significant difference was compared the two groups (P > 0.05). Conclusion Artificial total hip replacement for adult femoral head avascular necrosis can rapid reconstruction of the hip joint function and maintain normal function of lower limbs and can reduce the degree of patients with physical disabilities, to improve the quality of life of the patients has important clinical significance.