| 张剑君 1 吕 龙 1 李 华 1 包呼日 查 1 李临齐 1 陈学明.人工全髋关节置换治疗成人髋关节发育不良并骨性关节炎的临床分析[J].,2015,15(6):1069-1073 |
| 人工全髋关节置换治疗成人髋关节发育不良并骨性关节炎的临床分析 |
| Clinical Analysis of Total Hip Replacement for Treatment of Adult HipDysplasia and Osteoarthritis |
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| DOI： |
| 中文关键词: 髋关节发育不良 骨性关节炎 人工全髋关节置换术 |
| 英文关键词: Developmental dysplasia of the hip Osteoarthritis Total hip arthroplasty |
| 基金项目:卫生部科技计划项目（ W2012ZT72） |
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| 中文摘要: |
| 目的： 探讨人工全髋关节置换治疗 成人髋关节发育不良并骨性关节炎的临床疗效。 方法： 对 2009 年 7 月 至 2012 年 7 月 入住
我院的 60 例成人髋关节发育不良并骨性关节炎患者行人工全髋关节置换术治疗。 分析治疗优良率、 手术前后不同 Crowe 分型
Harris 评分、手术前后行走及疼痛情况、手术前后生活质量。 结果： ① 根据 Harris 评分， 本组治疗优良率 91 .67%（ 55/60）； ② 术后各
Crowe 分型患者 Harris 评分均显著高于术前， 差异均具有统计学意义（ P＜ 0.05）； ③ 本组术前自 行行走及辅助行走例 数分别 为 23
及 37 例 ， 术后分别 为 39 例 及 21 例 ； 术前疼痛 情况： 无、轻、中及重度疼痛 例 数分别 为 1 例 、 6 例 、 22 例 及 31 例 ， 术后分别 为 18
例 、 28 例 、 12 及 2 例， 手术前后行走情况及疼痛 情况差异均具有统计学意义（ P＜ 0.05）； ④ 根据 SF-36 生活质量评价标准， 术后生
活质量评分为（ 1 42.16± 10.32）分，显著高于术前（ 11 5.24± 7.34）分， 差异具有统计学意义（ P＜ 0.05）。 结论： 人工全髋关节置换治疗
成人髋关节发育不良并骨性关节炎的临床疗效显著，术后患者髋关节功能及生活质量明显改善， 应在临床上加以推广。 |
| 英文摘要: |
| Objective:To investigate the clinical curative effect of artificial total hip joint replacement in the treatment of adult hip
dysplasia with osteoarthritis.Methods:Between July 2009 and July 2012, 60 patients combined with adult hip dysplasia and osteoarthritis
in our hospital underwent artificial total hip arthroplasty. Analyze the excellent and good rate, Harris score of different Crowe type,
walking and the pain degree, quality of life before and after operation.Results:(1 ) According to Harris score, the excellent and good rate
was 91.67% in the treatment group (55/60). (2) After operation, the Harris scores of patients in each Crowe typing were significantly
higher than before operation, and the differences were statistically significant (P < 0.05); (3) Before operation, 23 patients could walk and
27 could mobilize with walking aids. After operation, 39 patients could walk and 21 still need walking aids. There were one case of no
pain, 6 cases of mild degree pain, 22 cases of moderate pain and 31 cases of severe pain before operation. While after operation there
were 18 cases of no pain, 28 cases of mild pain, 1 2 cases of moderate pain and only 2 cases of severe pain. The differences of walking
and pain of were statistically significant (P < 0.05). (4) According to the evaluation of quality of life of the SF-36 standard, the
postoperative quality of life score was (142.16 ± 1 0.32)%, significantly higher than the preoperative [(1 15.24 ± 7.34)% ], and the
difference was statistically significant (P < 0.05).Conclusion:The patients had their hip function and quality of life improved obviously
after operation. The artificial total hip joint replacement had clinical curative effect in the treatment of adult hip dysplasia and
osteoarthritis, so it should be popularized and applied in clinic. |
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