3664例全髋关节置换术相关危险因素分析  

The risk factors analysis for 3364 patients who underwent total hip replacements

作　　者：谭钢[1] 罗磊[1] 杨静[1] 沈彬[1] 周宗科[1] 康鹏德[1] 裴福兴[1] 

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《中国矫形外科杂志》2011年第17期1431-1434,共4页Orthopedic Journal of China

摘　　要：[目的]通过对华西医院骨科1998～2007年行全髋关节置换术患者的基本资料进行分析,得出全髋关节置换术患者特点的变化。[方法]整理华西医院骨科于1998～2007年间行全髋关节置换术患者的资料,统计每年行全髋关节置换术患者的病例数、男女比例、年龄构成、疾病类别等资料,分析10年来行人工全髋关节置换术患者特点变化。[结果]病例数和男女比例呈逐年上升趋势,年龄构成呈逐年减小趋势,导致行全髋关节置换术的疾病类别中缺血性股骨头坏死(激素和酒精性)1 211例,原发性髋关节骨关节炎984例,股骨颈骨折后股骨头坏死947例,创伤性髋关节骨关节炎180例,髋关节感染后骨关节炎(包括髋关节结核和化脓性髋关节炎)100例,类风湿性关节炎及强直性骨关节炎累及髋关节相比其他三种就很少。[结论]国人行全髋关节置换术患者总例数逐年增加,男女比例呈现上升趋势;疾病谱中以原发性髋关节骨关节炎、原发性股骨头缺血性坏死、股骨颈骨折后股骨头缺血性坏死居多,并且还在不断增多,因此预防该三类病因对减少人工全髋关节置换手术患者的数量有重要的意义。[ Objective ] To analyze the causes of the patients who underwent total hip arthroplsty （THA） in West China Hos- pital from 1998 to 2007. [ Method] In order to analysis the causes of the patients who underwent THA in West China Hospital from 1998 to 2007 ,we collected and reviewed the history of these patients and classified the annual data according to total number of patients,gender, age and the diagnosis. [ Result] The total number of the patients underwent THA and the artio of gender （male/female） was increasing year by year in the last ten years. The most common cause of the patients who undergone THA was osteonecrosis of the femoral head （ONFH） , there were 1 211 cases. The other causes including 984 patients were diagnosed as os- teoarthritis of the hip ,947 were ONFH caused by femoral neck fracture, 180 traumatic osteoarthirtis of the hip, 100 osteoarthritis of the hip secondary from the old infection, including bacteria and tuberculosis infection, while rheumatoid arthritis and ankylosing spondylitis of the hip were listed the final two causes. [ Conclusion] In our study,the main diseases which lead to THA in Chinese people are ONFH, osteoarthritis of the hip, traumatic ONFH. The total number of patients undergoing THA was increasing in the last ten years.

关 键 词：全髋关节置换术 相关因素 年龄 性别 疾病 

分 类 号：R687.4[医药卫生—骨科学]