髋臼周围截骨术治疗成人髋关节发育不良的疗效  

Efficacy of periacetabular osteotomy for the treatment of developmental dysplasia of hip

作　　者：鞠盛涛[1] 贾堂宏[1] 宁斌[1] 

机构地区：[1]山东大学附属济南市中心医院骨科,山东济南250013

出　　处：《山东大学学报（医学版）》2014年第10期100-102,共3页Journal of Shandong University:Health Sciences

摘　　要：目的：探讨髋臼周围截骨术治疗成人髋关节发育不良的早期疗效。方法对19例22髋成人髋关节发育不良患者行髋臼周围截骨术治疗，测量并比较术前和术后X线影像CE角、臼顶倾斜角，髋 Harris评分等指标，平均随访28个月。结果19例（22髋）随访12～78个月（平均28个月），术后均获骨性愈合，症状体征得到改善。术前CE角（9．47±2．03）°，术后（23．98±2．75）°；术前AC角（24．26±1．61）°，术后（14．41±1．39）°；术前 Harris评分（76．1±8．64）分，术后（87．88±6．54）分。结论髋臼周围截骨术是治疗成人髋关节发育不良的有效方法，正确的手术操作和积极的术后康复可获得较为理想的治疗结果。Objective To investigate the early therapeutic effect of periacetabular osteotomy to treat developmental dys-plasia of hip （DDH）.Methods A total of 22 hips in 19 DDHpatients were treated with periacetabular osteotomy.All patients were then followed up for an average of 28 months.The preoperative and postoperative CE angle,AC angle, and Harris score were measured and compared.Results All patients were healed.The main clinical symptoms and signs were significantly improved.The Harris score was 76.1 ±8.64 preoperatively and 87.88 ±6.54 postoperatively （P〈0.05）.AC angle decreased from preoperative （24.26 ±1.61）°to postoperative （14.41 ±1.39）°（P〈0.05）, while CE angle increased from preoperative （9.47 ±2.03）°to postoperative （23.98 ±2.75）°（P〈0.05）.Conclusion Periacetabular osteotomy is an effective surgical method for developmental dysplasia of hip.Correct surgical operation and active postoperative rehabilitation can achieve satisfactory outcomes.

关 键 词：成人髋关节发育不良 髋臼周围截骨术 骨关节炎 保髋治疗 疗效 

分 类 号：R687.3[医药卫生—骨科学]