人工髋关节置换术治疗股骨头缺血性坏死30例疗效观察  

The efficacy of total hip arthroplasty treatment of 30 case avascular necrosis of femoral head(ANFH)

作　　者：蒋荣辉[1] 袁耀[1] 肖鲁伟[2] 

机构地区：[1]浙江省余姚市人民医院骨科,浙江余姚315400 [2]浙江中医药大学第一临床医学院骨伤科,浙江杭州310020

出　　处：《中国现代医生》2012年第29期127-128,共2页China Modern Doctor

摘　　要：目的探讨人工髋关节置换术治疗股骨头缺血性坏死(ANFH)的疗效。方法回顾性分析我院2009年12月～2010年5月收治的30例(32髋)ANFH患者的临床资料,该组患者均采用人工髋关节置换术治疗,髋臼侧均采用生物假体,股侧采用骨水泥型和生物型各16髋,采用Harris评分比较手术前后的髋关节功能情况。结果所有患者术后随访3～12个月,32例患者的Harris评分均较术前显著提高(P<0.05)。骨水泥型组与生物型组在术中出血量、住院时间、Harris评分方面无统计学意义(P>0.05)。但两组手术时间和术后并发症有显著性差异(P<0.05)。结论人工髋关节置换术是治疗ANFH的有效手段,骨水泥型与生物型假体近期疗效相当,应结合患者的具体情况选择合理的假体。Objective To investigate the efficacy of total hip arthroplasty to treat the avascular necrosis of femoral head （ANFH）. Methods Retrospective analysis of the clinical data of 30 cases of ANFH in our hospital from December 2009 to May 2010（32 hips）, all cases were treated with total hip arthroplasty. Acetabular side with biological prosthesis, femoral side with bone cement and biotype （each 16 hip ） .Scored and compared hip function of before and after surgery with the Harris hip score. Results All the patients were followed up for 3 to 12 months. The Harris hip score of 32 patients com- pared with preoperative were significantly improved （P 〈 0.05）. Compared the bone cement group and the biotypes group, there were not significant difference in intra operative blood loss and length of stay （P 〉 0.05）, but there were significant difference in operative time and postoperative complications （P 〈 0.05 ）. Conclusion The total hip replacement surgery is an effective means of treatment ANFH , the efficacy is similiar between cemented and biological prosthesis,and should be combined with the specific situation of the patient＇s to choose reasonable prosthesis.

关 键 词：人工髋关节置换术 股骨头缺血性坏死 骨水泥 生物型 假体 疗效 

分 类 号：R683.42[医药卫生—骨科学]