人工全髋置换术对老年陈旧性髋臼骨折伴创伤性关节炎的疗效分析  

Analysis of the Efficacy of Total Hip Replacement Surgery for Senile Old Acetabular Fracture with Traumatic Arthritis

作　　者：谢敏 刘敏强 毛吉刚 

机构地区：[1]珠海市第二人民医院骨一科,广东珠海519020

出　　处：《中外医疗》2014年第18期36-38,共3页China & Foreign Medical Treatment

摘　　要：目的分析人工全髋置换术对老年陈旧性髋臼骨折伴创伤性关节炎的疗效。方法选取该院2008年1月—2013年3月收治的80例老年陈旧性髋臼骨折伴创伤性关节炎患者分为全髋置换组及保守治疗组,各40例,对比两组患者治疗效果。结果两组患者T1及T2时期Harris髋关节评分、关节活动度分别为(85.2±6.2)、(92.3±5.5)及(76.5±7.4)、(80.4±6.7),均较T0明显上升,全髋置换组上升程度较保守治疗组更为显著,差异有统计学意义(P<0.05);其ADL评分均有所下降,全髋置换组自(29.1±6.5)降至(15.7±3.1),其下降程度较后者更为显著,差异有统计学意义(P<0.05)。结论人工全髋置换术可有效改善患者关节疼痛症状,提高其髋关节本体感觉、活动度和运动能力,使其生活质量得到提高,且安全性良好,值得推广应用。Objective To analyze the curative effect of total hip arthroplasty for senile old acetabular fracture with traumatic arthritis. Methods 80 cases of elderly patients with old acetabular fracture and traumatic arthritis admitted in our hospital were selected and divided into total hip replacement group and conservative treatment group with 40 cases in each. And the treatment effect of two groups of patients was compared. Results The Harris hip score, range of motion of the two groups of patients in T1 and T2 stage was（85.2±6.2）,（92.3±5.5） and（76.5±7.4）,（80.4±6.7）, respectively, which increased obviously as compared with those in T0 stage, and those of the total hip replacement group increased more significantly than those of conservative treatment group（P〈0.05）; the ADL score of both groups decreased, the ADL score of the total hip replacement group decreased from（29.1 ±6.5） to（15.7±3.1）, its decline was much larger than that of the conservative treatment group（P〈0.05）. Conclusion Total hip replacement can effectively improve the joint pain symptoms, enhance the hip joint proprioception, activity and exercise capacity with good safety, so that the quality of life of the patients can be improved, which is worthy of promotion and application.

关 键 词：人工全髋置换术 老年 陈旧性髋臼骨折 创伤性关节炎 

分 类 号：R575.8[医药卫生—消化系统] R692.9[医药卫生—内科学]