蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
7期
896-898
,共3页
陈廷%董斌%徐高伟%李陈
陳廷%董斌%徐高偉%李陳
진정%동빈%서고위%리진
股骨头坏死%人工全髋关节置换术
股骨頭壞死%人工全髖關節置換術
고골두배사%인공전관관절치환술
emoral head necrosis%hip replacement
目的::总结人工全髋关节置换术治疗Ficat分期Ⅲ、Ⅳ期股骨头坏死的手术技巧与效果。方法:对行人工全髋关节置换术患者23例(24髋)临床资料进行回顾性分析,比较术前、术后髋关节功能Harris评分及屈曲度、外展度改善情况。结果:经人工全髋关节置换术治疗后,优3髋,良10髋,可9髋,差2髋;患者髋关节屈曲度和外展度均较术前明显改善,髋关节Harris评分较术前显著提高(P<0.01)。结论:人工全髋关节置换术是治疗Ficat分期Ⅲ、Ⅳ期股骨头坏死的有效方法。应注意术前全面检查、术中谨慎细致操作和术后积极防治并发症。
目的::總結人工全髖關節置換術治療Ficat分期Ⅲ、Ⅳ期股骨頭壞死的手術技巧與效果。方法:對行人工全髖關節置換術患者23例(24髖)臨床資料進行迴顧性分析,比較術前、術後髖關節功能Harris評分及屈麯度、外展度改善情況。結果:經人工全髖關節置換術治療後,優3髖,良10髖,可9髖,差2髖;患者髖關節屈麯度和外展度均較術前明顯改善,髖關節Harris評分較術前顯著提高(P<0.01)。結論:人工全髖關節置換術是治療Ficat分期Ⅲ、Ⅳ期股骨頭壞死的有效方法。應註意術前全麵檢查、術中謹慎細緻操作和術後積極防治併髮癥。
목적::총결인공전관관절치환술치료Ficat분기Ⅲ、Ⅳ기고골두배사적수술기교여효과。방법:대행인공전관관절치환술환자23례(24관)림상자료진행회고성분석,비교술전、술후관관절공능Harris평분급굴곡도、외전도개선정황。결과:경인공전관관절치환술치료후,우3관,량10관,가9관,차2관;환자관관절굴곡도화외전도균교술전명현개선,관관절Harris평분교술전현저제고(P<0.01)。결론:인공전관관절치환술시치료Ficat분기Ⅲ、Ⅳ기고골두배사적유효방법。응주의술전전면검사、술중근신세치조작화술후적겁방치병발증。
Objective:This paper offers a summarization of the operation skills and outcomes of hip replacement as a treatment of femoral head necrosis in Phase Ⅲ and Phase Ⅳ of Ficat. Methods:The method involves a retrospective analysis of clinical data with regard to 23 patients undergoing hip replacement, with a comparison of Harris grading of hip joint function and the improvement in flexion and abduction before and after the operation. Results:The outcome of the operation has established that the patients have obvious improvement in flexion and abduction, as well as in Harris grading (p<0. 01), with 3 obtaining satisfactory outcome,10 good outcome,9 accepted,outcome and 2 unsatisfactory outcome. Conclusions:To sum up, hip replacement, which requires an overall , checkup before the operation, a cautious handling in the operation and a precaution against complication after the operation, serves as a good treatment of femoral head necrosis in Phase Ⅲ and Phase Ⅳ of Ficat.