CAJ | 학술논문

目的：探讨人工髋关节置换术（total hip arthroplasty ，THA）治疗髋关节感染继发骨关节炎的疗效，为临床治疗提供参考依据。方法回顾性分析2004年3月－2010年1月72例采用T H A治疗后发生髋关节感染继发骨关节炎患者临床资料；其中40例行保守治疗、32例行切开引流治疗；与治疗后3、6个月、1年及之后每2年随访1次，观察患者行走步态、双下肢是否等长、T rendelenburg 征，采用 Harris评分评价关节功能，数据采用SPSS17．0进行统计分析。结果患者术后髋关节Harris评分高于术前，术后评分与术前比较差异有统计学意义（P＜0．05）；末次随访时，手术组及非手术组Harris评分均高手术前，与术前比较，差异有统计学意义（P＜0．05）；两组间比较差异无统计学意义。结论采用 T HA治疗髋关节感染继发骨关节炎的患者满意率较高，术后功能恢复好，并发症发生率较低，在缓解临床症状及改善功能方面具有显著优势，可获得较好的远期疗效。
목적：탐토인공관관절치환술（total hip arthroplasty ，THA）치료관관절감염계발골관절염적료효，위림상치료제공삼고의거。방법회고성분석2004년3월－2010년1월72례채용T H A치료후발생관관절감염계발골관절염환자림상자료；기중40례행보수치료、32례행절개인류치료；여치료후3、6개월、1년급지후매2년수방1차，관찰환자행주보태、쌍하지시부등장、T rendelenburg 정，채용 Harris평분평개관절공능，수거채용SPSS17．0진행통계분석。결과환자술후관관절Harris평분고우술전，술후평분여술전비교차이유통계학의의（P＜0．05）；말차수방시，수술조급비수술조Harris평분균고수술전，여술전비교，차이유통계학의의（P＜0．05）；량조간비교차이무통계학의의。결론채용 T HA치료관관절감염계발골관절염적환자만의솔교고，술후공능회복호，병발증발생솔교저，재완해림상증상급개선공능방면구유현저우세，가획득교호적원기료효。
OBJECTIVE To evaluate long‐term efficacy of total hip arthroplasty (T HA ) for treatment of osteoar‐thritis secondary to hip infections so as to provide reference for clinical treatment .METHODS Between Mar .2004 and Jan .2010 ,72 patients with osteoarthritis secondary to hip sepsis underwent THA .The clinical data of these patients were retrospectively analyzed in this study .Among these patients ,40 patients underwent conventional treatment ,and 32 patients received drainage treatment .Follow‐ups were conducted at three months ,six months , one year and every two years after treatment during which patients were observed for walking gait ,equal length of both lower extremities and Trendelenburg sign .The joint function was evaluated by Harris scores .The software SPSS17 .0 was used for statistical analysis of data .RESULTS The difference was significant in Harris hip scores compared to the preoperative scores (P<0 .05) .At the final follow‐up ,the difference was significant in Harris hip scores in both operative and non‐operative groups compared to the preoperative scores (P<0 .05) .There was no significance in inter‐group comparison .CONCLUSION Patients had high satisfaction rate of T HA treatment for hip osteoarthritis secondary to hip infections ,good recovery of postoperative function and a low incidence of com‐plications ,indicating THA had significant advantages in relieving clinical symptoms and improving functions which can achieve better long‐term outcomes .