CAJ | 학술논문

目的：分析人工全髋置换术对老年陈旧性髋臼骨折伴创伤性关节炎的疗效。方法选取该院2008年1月-2013年3月收治的80例老年陈旧性髋臼骨折伴创伤性关节炎患者分为全髋置换组及保守治疗组，各40例，对比两组患者治疗效果。结果两组患者T1及T2时期Harris髋关节评分、关节活动度分别为（85.2±6.2）、（92.3±5.5）及（76.5±7.4）、（80.4±6.7），均较T0明显上升，全髋置换组上升程度较保守治疗组更为显著，差异有统计学意义（P＜0.05）；其ADL评分均有所下降，全髋置换组自（29.1±6.5）降至（15.7±3.1），其下降程度较后者更为显著，差异有统计学意义（P＜0.05）。结论人工全髋置换术可有效改善患者关节疼痛症状，提高其髋关节本体感觉、活动度和运动能力，使其生活质量得到提高，且安全性良好，值得推广应用。
목적：분석인공전관치환술대노년진구성관구골절반창상성관절염적료효。방법선취해원2008년1월-2013년3월수치적80례노년진구성관구골절반창상성관절염환자분위전관치환조급보수치료조，각40례，대비량조환자치료효과。결과량조환자T1급T2시기Harris관관절평분、관절활동도분별위（85.2±6.2）、（92.3±5.5）급（76.5±7.4）、（80.4±6.7），균교T0명현상승，전관치환조상승정도교보수치료조경위현저，차이유통계학의의（P＜0.05）；기ADL평분균유소하강，전관치환조자（29.1±6.5）강지（15.7±3.1），기하강정도교후자경위현저，차이유통계학의의（P＜0.05）。결론인공전관치환술가유효개선환자관절동통증상，제고기관관절본체감각、활동도화운동능력，사기생활질량득도제고，차안전성량호，치득추엄응용。
Objective To analyze the curative effect of total hip arthroplasty for senile old acetabular fracture with traumatic arthritis. Methods 80 cases of elderly patients with old acetabular fracture and traumatic arthritis admitted in our hospital were se-lected and divided into total hip replacement group and conservative treatment group with 40 cases in each. And the treatment ef-fect of two groups of patients was compared. Results The Harris hip score, range of motion of the two groups of patients in T1 and T2 stage was (85.2±6.2),(92.3±5.5) and (76.5±7.4),(80.4±6.7), respectively, which increased obviously as compared with those in T0 stage, and those of the total hip replacement group increased more significantly than those of conservative treatment group ( P<0.05) ; the ADL score of both groups decreased, the ADL score of the total hip replacement group decreased from (29.1 ±6.5) to (15.7±3.1), its decline was much larger than that of the conservative treatment group (P<0.05). Conclusion Total hip replacement can effectively improve the joint pain symptoms, enhance the hip joint proprioception, activity and exercise capacity with good safety, so that the quality of life of the patients can be improved, which is worthy of promotion and application.