中国综合临床
中國綜閤臨床
중국종합림상
Clinical Medicine of China
2015年
12期
1131-1133
,共3页
刘如月%郝玉梅%卢兆安%周建国%韩枫%黄久勤
劉如月%郝玉梅%盧兆安%週建國%韓楓%黃久勤
류여월%학옥매%로조안%주건국%한풍%황구근
生物型%全髋关节置换手术%高位发育性髋脱位%疗效
生物型%全髖關節置換手術%高位髮育性髖脫位%療效
생물형%전관관절치환수술%고위발육성관탈위%료효
Biological type%Total hip replacement operation%High developmental dislocation of the hip%Curative effect
目的 探讨高位发育性髋脱位患者采取生物全髋关节置换手术的临床疗效.方法 选取于2011年1月至2014年2月来我商丘市第一人民医院治疗的36例高位发育性髋脱位患者作为本次研究对象,所有患者均行生物型全髋关节置换手术,术后6个月～2年,观察所有患者治疗前后的临床疗效.结果 本组手术时间为1.20～3.00 h,平均手术时间(2.13±1.01)h,术中出血量300.00～ 700.00ml,平均出血量为(342.43±34.23) ml;随访6个月～2年,所有患者术后均无假体松动及髋关节脱位发生;治疗后患者的Harris评分(81.56±14.34)分优于治疗前的(54.34±9.78)分,差异有统计学意义(P=0.009);治疗后根据Harris评分评价髋关节功能,优良率为97.22％.结论 高位发育性髋脱位患者采取生物型全髋关节置换手术的临床疗效显著,具有操作简单,有效缓解疼痛、改善患者生活质量等优点,可作为高位发育性髋脱位的理想治疗方法.
目的 探討高位髮育性髖脫位患者採取生物全髖關節置換手術的臨床療效.方法 選取于2011年1月至2014年2月來我商丘市第一人民醫院治療的36例高位髮育性髖脫位患者作為本次研究對象,所有患者均行生物型全髖關節置換手術,術後6箇月～2年,觀察所有患者治療前後的臨床療效.結果 本組手術時間為1.20～3.00 h,平均手術時間(2.13±1.01)h,術中齣血量300.00～ 700.00ml,平均齣血量為(342.43±34.23) ml;隨訪6箇月～2年,所有患者術後均無假體鬆動及髖關節脫位髮生;治療後患者的Harris評分(81.56±14.34)分優于治療前的(54.34±9.78)分,差異有統計學意義(P=0.009);治療後根據Harris評分評價髖關節功能,優良率為97.22％.結論 高位髮育性髖脫位患者採取生物型全髖關節置換手術的臨床療效顯著,具有操作簡單,有效緩解疼痛、改善患者生活質量等優點,可作為高位髮育性髖脫位的理想治療方法.
목적 탐토고위발육성관탈위환자채취생물전관관절치환수술적림상료효.방법 선취우2011년1월지2014년2월래아상구시제일인민의원치료적36례고위발육성관탈위환자작위본차연구대상,소유환자균행생물형전관관절치환수술,술후6개월～2년,관찰소유환자치료전후적림상료효.결과 본조수술시간위1.20～3.00 h,평균수술시간(2.13±1.01)h,술중출혈량300.00～ 700.00ml,평균출혈량위(342.43±34.23) ml;수방6개월～2년,소유환자술후균무가체송동급관관절탈위발생;치료후환자적Harris평분(81.56±14.34)분우우치료전적(54.34±9.78)분,차이유통계학의의(P=0.009);치료후근거Harris평분평개관관절공능,우량솔위97.22％.결론 고위발육성관탈위환자채취생물형전관관절치환수술적림상료효현저,구유조작간단,유효완해동통、개선환자생활질량등우점,가작위고위발육성관탈위적이상치료방법.
Objective To investigate the clinical effect of high developmental dislocation of the hip in patients with total hip replacement operation to take biology.Methods Thirty-six cases of high developmental dislocation of the hip by patients as the object of study from January 2011 to February 2014 in the First People' s Hospital of Shangqiu, all patients underwent cementless total hip joint replacement operation, 6 months to 2 years after surgery, observed the clinical effect of all patients before and after treatemnt.Results The operation time was 1.20-3.0 h,the average operation time was (2.13±1.01) h,amount of bleeding during the operation of 300.00-700.00 ml,the average amount of bleeding was (342.43±34.23) ml;follow up of 6 months to 2 years, all patients had no prosthesis loosening and dislocation of the hip;all patients after treatment, Harris score (81.56± 14.34) points, better than that before treatment, the difference was statistically significant ((54.34 ± ±9.78) points,P=0.009);The excellent and good rate of all the patients after the treatment (97.22％) .Conclusion The clinical effect of high developmental dislocation of the hip by total hip replacement operation in patients taking biological type significantly, has the advantages of simple operation, effectively relieve pain, improve the life quality of patients and other advantages, the ideal treatment method can be used as high developmental dislocation of hip.
