全髋关节置换术后下肢不等长感知率及其对生活质量的影响  

Perception of leg length discrepancy after total hip replacement and its impact on quality of life

作　　者：赵建忠[1] 张广程[1] 狄东华[1] 王波[1] 

机构地区：[1]江苏大学附属医院骨科,江苏镇江212000

出　　处：《徐州医学院学报》2014年第1期31-33,共3页Acta Academiae Medicinae Xuzhou

基　　金：镇江市社会发展基金（FZ2012033）

摘　　要：目的 探讨全髋关节置换术后患者对下肢不等长（LLD）感知的发生率,及其对生活质量的影响.方法 将初次接受单侧全髋关节置换术的92例患者作为研究对象,其中新鲜股骨颈骨折43例、股骨头坏死49例,通过测量术后双髋正位片评估解剖性LLD,问卷调查评估对LLD的感知,Harris评分评价髋关节功能,EQ-5D量表评价患者术后生活质量.结果 ①股骨头坏死患者术后LLD感知率高于新鲜股骨颈骨折患者（45% vs.14%,P＜0.05）.②感知组Harris评分（89.34±1.54）与非感知组（90.34±1.28）差异无统计学意义（P＞0.05）,感知组EQ评分低于非感知组（0.843 vs.0.962,P＜0.05）.③LLD感知率随着时间的延长逐渐降低.结论 全髋关节置换术后患者对LLD感知是影响患者生活质量的重要因素,但随着时间的延长会逐渐改善.Objective To investigate the perception of leg length discrepancy （LLD） after total hip replacement （THR） and its impact on quality of life. Methods 92 patients who underwent unilateral primary THR were studied a- bout the post - operative perception of LLD by measuring the postoperative AP radiographs of bilateral hips at follow - up time, including 43 cases of femoral neck fracture and 49 cases of femoral head necrosis. Questionnaires concerning the perception of LLD and the Harris hip score （HSS） were completed. Assessing the postoperative quality of life with the EQ -5D patient selfrating tool also was done. Results （1） The patients with femoral head necrosis had a higher percep- tion of LLD than the patients with femoral neck fracture （45% vs. 14%, P 〈0.05 ）. （2） The HSS（89.34 ±1.54） of the perceived LLD patients was not significantly worse than that （90.34 ±1.28 ） of the non - perceived LLD patients （ P 〉 0.05 ）. The perceived LLD group had lower EQ score than that of the non - perceived LLD group （0. 843 vs. 0. 962, P 〈 0.05 ）. （3） The perception rate decreased with time. Conclusion Perception of LLD after THR is a significant factor that influences the patients＇quality of life. However, this frustration can resolve or improve with time.

关 键 词：全髋关节置换术 下肢不等长 生活质量 

分 类 号：R687.4[医药卫生—骨科学]