| 常再平,王 林,李 龙,贺容博,李 勇.髋关节置换术对股骨头坏死患者髋关节Harris评分及运动功能的影响[J].,2017,17(11):2116-2118 |
| 髋关节置换术对股骨头坏死患者髋关节Harris评分及运动功能的影响 |
| Effects of Hip Replacement on Harris Scores and Motor Functions of Patients with Femoral Head Osteonecrosis |
| 投稿时间：2016-11-12 修订日期：2016-11-29 |
| DOI：10.13241/j.cnki.pmb.2017.11.030 |
| 中文关键词: 髋关节置换术 Harris评分 股骨头坏死 运动功能 |
| 英文关键词: Hip arthroplasty Harris score Femoral head necrosis Motor function |
| 基金项目:陕西省人民医院基金项目(2015SF051) |
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| 中文摘要: |
| 摘要 目的：分析髋关节置换术对股骨头坏死(osteonecrosis of the femoral head，ONFH)患者的髋关节Harris功能评分(Harris hip score，HHS)与简式Fugl-Meyer运动功能评分(Fugl-Meyer assessment scale，FMA)的影响。方法：回顾性选取于我院受诊的ONFH患者87例，按照其所用术式的不同，分为两组，传统组采用传统股骨头置换术治疗，共43例病例；研究组采用无柄解剖型人工髋关节置换术治疗，共44例，比较两组Harris评分、Fugl-Meyer运动功能评分的改变及统计并发症信息。结果：研究组Harris评分无显著差异(P＞0.05)；治疗后，研究组Harris评分明显高于传统组(P＜0.05)；研究组简式Fugl-Meyer运动功能显著优于传统组 (P＜0.05)；研究组并发症的发生率低于传统组(P＜0.05)。结论：无柄解剖型人工髋关节置换术治疗ONFH的临床疗效显著，能够改善患者髋关节功能及运动功能。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the effect of hip replacement on Harris score and simple Fugl-Meyer motor function score (Har- ris hip score, HHS) of patients with osteonecrosis of the femoral head (ONFH). Methods: 87 patients with ONFH were retrospectively studied. According to the different surgical procedures, the patients were divided into the two groups. The traditional group (n=43) was treated with traditional femoral head replacement. The study group (n=44) was treated with sessile anatomy type of total hip arthroplasty. The Harris score, fugl-Meyer motor function scores and complications were compared. Results: The Harris score of the study group were without significant differences (P＞0.05). After treatment, the Harris score in the study group was significantly higher than that in the tra- ditional group (P<0.05). The motor function of Fugl-Meyer was significantly better than that of the traditional group (P<0.05). The inci- dence of postoperative complications in the study group was significantly lower than that of the traditional group (P<0.05). Conclusion: Sutureless anatomical hip arthroplasty has better clinical effect on the treatment of ONFH, which can improve the hip functions and mo- tor functions of patients. |
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