PAO治疗成人DDH的预后影响因素  

Influencing Factors on Prognosis of Adult DDH with PAO

作　　者：王颖[1] 陈晓东[1] 

机构地区：[1]上海交通大学医学院附属新华医院骨科,上海市200092

出　　处：《解剖与临床》2010年第5期376-378,共3页Anatomy and Clinics

摘　　要：目的：探讨影响泊尔尼髋臼周围截骨术（PAO）治疗成人发育性髋关节发育不良（DDH）预后的相关因素,为临床工作提供参考.方法：总结相关文献报道,全面研究及评估可能影响PAO治疗成人DDH预后的各种因素.结果：对于合并早期骨关节炎及关节匹配度良好的DDH患者,应用PAO手术可以获得相对令人满意的预后;对于DDH合并股骨近端畸形的患者,在术后获得股骨头良好覆盖及关节面匹配度良好的前提下,采用PAO治疗DDH预后良好;而术前合并髋关节半脱位及假臼形成的患者预后较差.结论：影响PAO治疗成人DDH预后是多种因素共同参与的,其临床参考价值亟待提高.Objective：To discuss the influencing factors on prognosis of adult DDH after taking the PAO （periacetabular osteotomy） ,in order to provide some valuable references for the clinical work. Methods： Some related reports and papers were reviewed, the predictive factors of DDH patients＇prognosis after taking PAO were studied and evaluated. Results：The PAO provided good prognosis for patients with no or mild arthritis with a congruent hip joint; Among selected patients with proximal femoral deformities, the PAO could provide satisfactory results; It also revealed significant correlation of severity of dysplasia to poor outcome after taking the PAO. Conclusions ： There are several factors affecting the prognosis including severity of dysplasia, extent of arthritis, with or without proximal femoral deformities and so on. Due to lack of multi - centers, systemic and randomized controlled studies as well as limited samples and following - time, the clinical value of these studies is far from satisfying and it expects to be improved.

关 键 词：髋臼周围截骨术(PAO) 发育性髋关节发育不良(DDH) 

分 类 号：R687.4[医药卫生—骨科学]