人工全髋关节置换术104例临床疗效分析  

Clinical effect of total hip replacement in 104 patients suffered from different diseases

作　　者：郭哲[1] 王辉[1] 桂召柳[1] 毛路[1] 童力[1] 陈辉海[1] 赵广超[1] 曹松松[1] 吴天亮[1] 权良忠[1] 

机构地区：[1]安徽省芜湖市第二人民医院骨科,241000

出　　处：《中国综合临床》2011年第2期188-190,共3页Clinical Medicine of China

摘　　要：目的评价新鲜股骨颈骨折、陈旧性股骨颈骨折、股骨头无菌性坏死、髋关节骨性关节炎四种较常见的髋关节伤病，经人工全髋关节置换术治疗的疗效和并发症，为术前适应证的选择及疗效分析提供指导。方法回顾性分析104例行人工全髋关节置换术患者的临床资料，根据病种进行分组：新鲜股骨颈骨折组32例（30．8％），陈旧性股骨颈骨折组22例（21．1％），股骨头无菌性坏死组34例（32．7％），髋关节骨性关节炎组16例（15．4％），术后随访12．0—144．0个月，各组进行手术前后Harris评分和术后并发症统计。结果新鲜股骨颈骨折组、陈旧性股骨颈骨折组、股骨头无菌性坏死组、髋关节骨性关节炎组术后Harris评分分别为（92．6±5．8）、（90．1±5．2）、（86．3±4．6）、（81．9±4．1）分，较术前（25．6±1．8）、（36．7±2．6）、（52．9±4．3）、（42．1±3．8）分均有大幅提高（P均〈0．05）。结论人工全髋关节置换术对以上四种髋关节疾病均具有良好疗效，具有住院时间短、恢复快、治愈率高及降低并发症发生等特点，强调要重视并发症的防治。Objective To evaluate the clinical effect and complications of total hip replacement （THR） in novel femoral neck fracture, old femoral neck fracture, aseptic necrosis of femoral head and coxa degenerative osteoarthropathy. To provide instructions to surgical indications and treatment effects analysis. Methods One hundrde and four patients were divided into 4 groups by disease type：novel femoral neck fracture group （ n = 32 ） , old femoral neck fracture group （ n = 22 ）, aseptic necrosis of femoral head group （ n = 34） and coxa degenerative osteoarthropathy group （n = 16）. These patients were followed-up for 12 - 144 months after THR, their Harris standard score and complications data, before and after operation, were analyzed retrospectively. Results After operation, the Harris standard scores were 92. 6 ±5.8,90. 1：1： 5.2,86. 3 ± 4. 6, 81.9 ±4. 1 in novel femoral neck fracture, old femoral neck fracture, aseptic necrosis of femoral head and coxa degenerative osteoarthropathy groups respectively,which were significantly higher than the scores before operation （25.6±1.8,36.7±2.6,52.9±4.3,42.1±3.8,Ps〈0.05）. Conclusion THR has good effeets in the four types of diseases. Short length of stay and high healing rate are marked characteristics of THR. More attention shoud be paid to the complications of THR.

关 键 词：全髋关节置换术 人工关节 并发症 

分 类 号：R687.4[医药卫生—骨科学]