CAJ | 학술논문

目的：分析人工髋关节置换术后翻修原因及疗效。方法回顾性分析2006年3月~2012年6月重庆三峡中心医院收治的36例人工髋关节置换术失败进行翻修患者的临床资料，观察髋关节功能Harris标准评分及恢复情况。结果本研究获随访36例，随访时间8~68个月，平均34个月。无感染复发病例、无人工髋关节脱位、假体松动及下沉等。术前髋关节功能评分为31~46分，平均(39.00±4.97)分，术后髋关节功能评分为73~96分，平均(91.00±5.43)分，术后明显优于术前，差异有统计学意义(P<0.05)。髋关节功能恢复优23例，良11例，优良率为94.4%。结论髋关节置换术后翻修的主要原因与手术操作技术和患者自身因素有关。强调术前必须作详细评估，严格掌握手术指征，提高手术技能，正确选择假体，重视感染预防，增强术后护理质量及患者自我保护意识等，是提高人工髋关节翻修术治疗效果的重要措施。
목적：분석인공관관절치환술후번수원인급료효。방법회고성분석2006년3월~2012년6월중경삼협중심의원수치적36례인공관관절치환술실패진행번수환자적림상자료，관찰관관절공능Harris표준평분급회복정황。결과본연구획수방36례，수방시간8~68개월，평균34개월。무감염복발병례、무인공관관절탈위、가체송동급하침등。술전관관절공능평분위31~46분，평균(39.00±4.97)분，술후관관절공능평분위73~96분，평균(91.00±5.43)분，술후명현우우술전，차이유통계학의의(P<0.05)。관관절공능회복우23례，량11례，우량솔위94.4%。결론관관절치환술후번수적주요원인여수술조작기술화환자자신인소유관。강조술전필수작상세평고，엄격장악수술지정，제고수술기능，정학선택가체，중시감염예방，증강술후호리질량급환자자아보호의식등，시제고인공관관절번수술치료효과적중요조시。
Objective To analyze the reason and curative effect of revision of total hip arthmplasty. Methods Clinical data of 36 cases performed the revision of total hip arthmplasty for total hip arthmplasty failure from March 2006 to June 2012 in Three Gorges Central Hospital of Chongqing were retrospectively analyzed. The Harris hip score and re-covery were observed. Results 36 of the cases were followed up for 8-68 months, and the average time were 34 months. No complications such as infection,dislocation and loosening and submersion of the prothesis occurred. The postoperative Harris hip score before operation was 31-46 scores,and the mean score was (39.00±4.97) scores, the postoperative Harris hip score after operation was 73-96 scores, and the mean score was (91.00±5.43) scores, Harris hip score in postoperative was better than preoperative, the difference was statistically significant (P < 0.05). There were 23 cases with excellent recovery, 11 cases with good recovery, the good rate was 94.4%. Conclusion The main reason for the revision of total hip arthmplasty is related to operation skills and the patient's own factors. The detail preoperative evaluation is necessary, master the operation indications strictly, improve the operation skills, select the prosthesis type correctly, attach great importance to the joint infection prevention, and also strengthen nursing care after surgery as well as protective consciousness of patients' selves, which were important measures to improve the effect of revision of total hip arthmplasty.