小切口加盖术治疗成人髋臼发育不良关于盖的设计——附72例病例报告  

Mini-incision in the Treatment of Adult Acetabular Dysplasia on the Cover Design--Subsidiary 72 cases Reported.

作　　者：宫恩年 商丰元 魏成刚 张宏春 李静 宫燕梅 

机构地区：[1]解放军66400部队骨病专科医院,北京100143

出　　处：《中华临床医学杂志》2008年第8期1-4,共4页Chinese Journal of Clinical Practical Medicine

摘　　要：目的探讨精确设计符合人体工程力学的髋臼盖，配合小切口加盖术治疗成人髋臼发育不良。方法1996年8月～2007年8月，分析72例患者（79髋）因髋臼发育不良造成髋关节疼痛而接受髋臼加盖术。每位患者术前均摄双髋关节正位和蛙式位X线片和双髋关节CT，测量Sharpg0、CE角、AHI指数、前倾角、以及髋骨骨板的厚度和髋臼上缘骨板的厚度，根据测量数据计算适合患者的髋臼盖，术中根据接受加盖的关节囊壁厚度，以及前倾角度的校正值估算加盖的位置。结果65例（72髋）有6～104个月（平均12．5个月）的随访结果，72髋术后疼痛明显减轻，Harris平分从术前平均78．9分（64～83分）提高到术后平均93-8分（75～100分），另有7例（7髋）疼痛症状逐渐加重，逐渐有骨性关节炎的形成，摄双髋关节正位和蛙式位X线片示有盖的吸收，盖的位置偏高、偏后、与髋臼外缘形成夹角等。结论术前对患者髋关节多项数据的研究，精确设计符合人体工程力学的髋臼盖，配合改良小切口加盖术治疗成人髋臼发育不良可获得良好的疗效。Objective The design of precision engineering mechanics of the human body with acetabular cover, decked with mini-incision in the treatment of adult acetabular dysplasia. Methods August 1996 to August 2007, 72 patients（79 hips） of the acetabular dysplasia caused pain and hip acetabular stamp of acceptance. Each perturbation both preoperative patients with hip joint is situated and frog-leg lateral and X-ray, CT hip measurement Sharp angle, CE angle, AHI index, anteversion, and the hip bone plate thickness and the margin of acetabular the thickness of bony plates, according to survey data calculated for patients with acetabular cover, in accordance with accepted stamp of the joint wall thickness, as well as the forward point of the MCF estimate the location of stamping.Results 65 patients（72 hips） 6 to 104 months（mean 12.5 months） follow-up results of 72 hip postoperative pain reduced significantly from the preoperative Harris an average of 78.9 points（64~83minutes） to an average of 93.8 points after（75 ~ 100）, while seven patients^7 hips） pain symptoms gradually worsened and osteoarthritis gradually have the formation of perturbation double hip situated and frog-X-ray showed a covered absorption, the position of partial cover high, partial, and the formation of the outer edge of the angle between acetabular, etc.Conclusion Preoperative hip arthroplasty in patients with a number of data research, and precision mechanical design with the human body works acetabular cover, with improved mini-incision in the treatment of adult acetabular dysplasia be good effect.

关 键 词：骨疾病 发育性 髋臼 骨切开术 

分 类 号：R697.4[医药卫生—泌尿科学]