中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
Chinese Journal of Clinicians(Electronic Edition)
2015年
18期
3369-3372
,共4页
倪喆%尚希福%吴科荣%胡飞
倪喆%尚希福%吳科榮%鬍飛
예철%상희복%오과영%호비
髋臼发育不良%截骨术%改良Smith-Peterson入路
髖臼髮育不良%截骨術%改良Smith-Peterson入路
관구발육불량%절골술%개량Smith-Peterson입로
Congenital acetabular dysplasia%Osteotomy%Modified Smith-Peterson approach
目的 研究改良Smith-Peterson入路在伯尔尼截骨治疗成人髋臼发育不良的可行性,并探讨其短期临床疗效.方法 自2011年7月到2013年6月,采用改良Smith-Peterson入路行Bernese髋臼截骨共治疗髋臼发育不良患者共21例23髋.其中男5例5髋,女16例18髋;年龄18~48岁,平均32.7岁.记录手术时间及术中出血量,测量术前、术后髋臼的CE角和Tonnis角,并对髋关节功能行Harris评分.结果 所有患者髋臼周围截骨术后股骨头覆盖均得到改善,手术时间为(93±21)min,术中出血为(550±135)ml.外侧CE 角由术前的7.52°±4.67°矫正为30.26°±2.65°,前方CE角由术前的9.39°±3.04°矫正为25.52°±3.44°,Tonnis角由术前的22.36°± 6.79°矫正为7.28°±4.08°.所有患者一年时随访,Harris评分由术前的(75.45±6.28)分改善为(95.93±3.19)分,未出现截骨块不愈合及神经损伤症状.结论 改良S-P入路行伯尔尼髋臼周围截骨术治疗成人髋臼发育不良可以获得较好疗效,是一种安全有效的手术方式.
目的 研究改良Smith-Peterson入路在伯爾尼截骨治療成人髖臼髮育不良的可行性,併探討其短期臨床療效.方法 自2011年7月到2013年6月,採用改良Smith-Peterson入路行Bernese髖臼截骨共治療髖臼髮育不良患者共21例23髖.其中男5例5髖,女16例18髖;年齡18~48歲,平均32.7歲.記錄手術時間及術中齣血量,測量術前、術後髖臼的CE角和Tonnis角,併對髖關節功能行Harris評分.結果 所有患者髖臼週圍截骨術後股骨頭覆蓋均得到改善,手術時間為(93±21)min,術中齣血為(550±135)ml.外側CE 角由術前的7.52°±4.67°矯正為30.26°±2.65°,前方CE角由術前的9.39°±3.04°矯正為25.52°±3.44°,Tonnis角由術前的22.36°± 6.79°矯正為7.28°±4.08°.所有患者一年時隨訪,Harris評分由術前的(75.45±6.28)分改善為(95.93±3.19)分,未齣現截骨塊不愈閤及神經損傷癥狀.結論 改良S-P入路行伯爾尼髖臼週圍截骨術治療成人髖臼髮育不良可以穫得較好療效,是一種安全有效的手術方式.
목적 연구개량Smith-Peterson입로재백이니절골치료성인관구발육불량적가행성,병탐토기단기림상료효.방법 자2011년7월도2013년6월,채용개량Smith-Peterson입로행Bernese관구절골공치료관구발육불량환자공21례23관.기중남5례5관,녀16례18관;년령18~48세,평균32.7세.기록수술시간급술중출혈량,측량술전、술후관구적CE각화Tonnis각,병대관관절공능행Harris평분.결과 소유환자관구주위절골술후고골두복개균득도개선,수술시간위(93±21)min,술중출혈위(550±135)ml.외측CE 각유술전적7.52°±4.67°교정위30.26°±2.65°,전방CE각유술전적9.39°±3.04°교정위25.52°±3.44°,Tonnis각유술전적22.36°± 6.79°교정위7.28°±4.08°.소유환자일년시수방,Harris평분유술전적(75.45±6.28)분개선위(95.93±3.19)분,미출현절골괴불유합급신경손상증상.결론 개량S-P입로행백이니관구주위절골술치료성인관구발육불량가이획득교호료효,시일충안전유효적수술방식.
Objective To examine the feasibility of a modified Smith-Peterson approach to the Bernese periacetabular osteotomy for Congenital Acetabular Dysplasia of adults and analyze the short-term clinical effect.Methods Totally 21 patients with 23 hips underwent the Bernese periacetabular osteotomy with a modified Smith-Peterson approach from July 2011 to June 2013 were adopted in this study. They included 5 males (5 hips) and 16 females (18 hips), aged 18 to 48 years old with a mean of 32.7. The blood loss and operation duration were recorded. The CE angle and Tonnis angle were evaluated radiographically pre-and post-operation, as well as progressed Harris Score.Results The coverage of the femoral head was enhanced post-operation in all patients. The time of the operation was (93±21) min and the bleeding volume was (550±135)ml. Significant improvement was seen radiographically with regard to the lateral CE angle which changed from 7.52°±4.67° to 30.26°±2.65°, anterior CE angle from 9.39°±3.04° to 25.52°±3.44°, and Tonnis angle from 22.36°± 6.79° to 7.28°±4.08°. All patients were followed-up in one year post-operation, Harris score was improved from 75.45±6.28 to 95.93±3.19. No nonunion of bone osteotomy and nerve injury were founded.Conclusion The modified Smith-Peterson approach to Bernese periacetabular osteotomy for congenital acetabular dysplasia is effective and safe. The outcomes is satisfy.
