中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
17期
42-43
,共2页
创伤性股骨头缺血性坏死%全髋关节置换术%术后效果%随访
創傷性股骨頭缺血性壞死%全髖關節置換術%術後效果%隨訪
창상성고골두결혈성배사%전관관절치환술%술후효과%수방
Traumatic ischemic necrosis of femoral head%Total hip arthroplasty%Postoperative effect%Follow-up
目的 探讨创伤性股骨头缺血性坏死应用全髋关节置换术治疗的术后效果.方法 选取53例创伤性股骨头缺血性坏死患者为研究对象,随机分成全髋关节置换术组(A组,n=27)和闭合复位螺纹钉内固定组(B组,n=26)两组.术后随访1.5年,比较两组患者临床治疗效果、术后并发症、Harris评分及VAS评分.结果 术后随访期间内,A组髋关节功能恢复优良率为96.3％,明显高于B组的73.1％,差异有统计学意义(P＜0.05);治疗后两组疼痛评分及髋关节功能评分均较治疗前明显改善,其中A组为(2.1±0.5)分和(90.4±5.7)分,优于B组的(4.2±0.6)分和(82.4±4.9)分,差异有统计学意义(P＜0.05);术后随访1.5年,A组并发症发生率为3.7％,与B组的7.7％比较差异未见统计学意义(P＞0.05).结论 全髋关节置换术治疗创伤性股骨头缺血性坏死临床疗效显著,术后髋关节功能恢复理想,值得临床推广.
目的 探討創傷性股骨頭缺血性壞死應用全髖關節置換術治療的術後效果.方法 選取53例創傷性股骨頭缺血性壞死患者為研究對象,隨機分成全髖關節置換術組(A組,n=27)和閉閤複位螺紋釘內固定組(B組,n=26)兩組.術後隨訪1.5年,比較兩組患者臨床治療效果、術後併髮癥、Harris評分及VAS評分.結果 術後隨訪期間內,A組髖關節功能恢複優良率為96.3％,明顯高于B組的73.1％,差異有統計學意義(P＜0.05);治療後兩組疼痛評分及髖關節功能評分均較治療前明顯改善,其中A組為(2.1±0.5)分和(90.4±5.7)分,優于B組的(4.2±0.6)分和(82.4±4.9)分,差異有統計學意義(P＜0.05);術後隨訪1.5年,A組併髮癥髮生率為3.7％,與B組的7.7％比較差異未見統計學意義(P＞0.05).結論 全髖關節置換術治療創傷性股骨頭缺血性壞死臨床療效顯著,術後髖關節功能恢複理想,值得臨床推廣.
목적 탐토창상성고골두결혈성배사응용전관관절치환술치료적술후효과.방법 선취53례창상성고골두결혈성배사환자위연구대상,수궤분성전관관절치환술조(A조,n=27)화폐합복위라문정내고정조(B조,n=26)량조.술후수방1.5년,비교량조환자림상치료효과、술후병발증、Harris평분급VAS평분.결과 술후수방기간내,A조관관절공능회복우량솔위96.3％,명현고우B조적73.1％,차이유통계학의의(P＜0.05);치료후량조동통평분급관관절공능평분균교치료전명현개선,기중A조위(2.1±0.5)분화(90.4±5.7)분,우우B조적(4.2±0.6)분화(82.4±4.9)분,차이유통계학의의(P＜0.05);술후수방1.5년,A조병발증발생솔위3.7％,여B조적7.7％비교차이미견통계학의의(P＞0.05).결론 전관관절치환술치료창상성고골두결혈성배사림상료효현저,술후관관절공능회복이상,치득림상추엄.
Objective To investigate the postoperative effect of total hip arthroplasty on traumatic ischemic necrosis of femoral head.Methods Fifcy-three patients with traumatic ischemic necrosis of femoral head were selected as the research objects and randomly divided into total hip tube insertion group (group A,n =27) and closed reduction thread screw internal fixation group (group B,n =26).The clinical treatment effect,postoperative complications,the Harris score and VAS score results were compared between the two groups after one and a half years of follow up.Results During follow up,the fine rate of group A (96.3％)was significantly higher than that of group B (73.1％),the difference was significant (P ＜ 0.05).The pain score and the hip joint function score of the two groups after treatment were improved significantly,and they were (2.1 ± 0.5) and (90.4 t 5.7) points respectively in group A,which were better than (4.2 ± 0.6) and (82.4 ± 4.9) points in group B,the differences were significant (P ＜ 0.05).One and half year of follow up,postoperative complication rate of group A was 3.7％,compared with 7.7％ of group B,there was no significant difference (P ＞ 0.05).Conclusions The postoperative effect of total hip arthroplasty on traumatic ischemic necrosis of femoral head is remarkable,the hip function recovery is ideal,and is worth of clinical promotion.
