无柄人工髋关节表面置换治疗青壮年类风湿性关节炎疗效观察  

Clinical effects of the Non-stem total hip arthroplasty in rheumatoid arthritis of young adults

作　　者：曾令源 肖增明[2] 

机构地区：[1]广西壮族自治区来宾市人民医院骨科,广西来宾546100 [2]广西医科大学附属第一医院骨科,广西南宁530021

出　　处：《中国医药科学》2012年第5期31-33,共3页China Medicine And Pharmacy

摘　　要：目的探讨无柄人工髋关节表面置换术应用于青壮年类风湿性关节炎治疗的安全性、可行性及意义。方法选取笔者所在医院行无柄人工髋关节表面置换术治疗的青壮年类风湿性关节炎患者13例,分别于术前及术后对髋关节行Harris评分评价术前关节功能及术后疗效,同时对术后髋关节X线片采用Amstutz分区方法评价假体位置及术后并发症等情况。结果术后3例3髋出现髋关节脱位,1例感染病例;Amstutz分区法评价显示所有假体位置均无异常而且均未发现松动、移位及断钉的假体和罩杯;术后Harris评分较术前明显增高,差异有统计学意义(P<0.05)。结论无柄人工髋关节置换术具有创伤小、出血少及易于翻修等优点,可明显改善关节的功能、畸形和活动范围,是治疗青壮年类风湿性关节炎的有效方法。Objective To explore the safety,feasibility and significance of young adults with rheumatoid arthritis the Nonstem total hip arthroplasty resurfacing.Methods A collection of 46 young adults patients with rheumatoid arthritis of the Non-stem total hip arthroplasty for resurfacing treatment of 13 cases.The hip joint is the Harris score for evaluation of joint function and clinical clinical efficacy.Postoperatively,the hip radiographs using Amstutz partition method for assessment of implant position and postoperative complications etc.Postoperative follow-up,follow-up period of 6 months.Results 3 cases of 3 hip appear hip dislocation,1 case of infection;Amstutz partition method to evaluate all prosthesis position is no abnormalities but is not found loose,shift,broken nails of the prosthesis and cup;postoperative Harris score compared with preoperative had statistical significance（P 0.05）.Conclusion The Non-stem total hip arthroplasty are resurfacing with less trauma,less bleeding and easy revision advantages.It can be significant improvement the joint function,deformity and scope of activities,it is an effective method of treatment of young adult rheumatoid arthritis.

关 键 词：无柄人工髋关节 表面置换 青壮年 类风湿性关节炎 

分 类 号：R684.3[医药卫生—骨科学]