髋关节感染继发骨关节炎人工髋关节置换术的远期疗效分析  

Analysis on long-term efficacy of hip replacement surgery for osteoarthritis secondary to hip infections

作　　者：崔金雷[1] 李军伟[2] 宋文超[1] 

机构地区：[1]郑州人民医院骨一科,河南郑州450000 [2]郑州大学第一附属医院骨科,河南郑州450000

出　　处：《中华医院感染学杂志》2015年第8期1848-1850,共3页Chinese Journal of Nosocomiology

基　　金：河南省自然科学基金资助项目(112300454632)

摘　　要：目的探讨人工髋关节置换术(total hip arthroplasty,THA)治疗髋关节感染继发骨关节炎的疗效,为临床治疗提供参考依据。方法回顾性分析2004年3月-2010年1月72例采用THA治疗后发生髋关节感染继发骨关节炎患者临床资料;其中40例行保守治疗、32例行切开引流治疗;与治疗后3、6个月、1年及之后每2年随访1次,观察患者行走步态、双下肢是否等长、Trendelenburg征,采用Harris评分评价关节功能,数据采用SPSS17.0进行统计分析。结果患者术后髋关节Harris评分高于术前,术后评分与术前比较差异有统计学意义(P<0.05);末次随访时,手术组及非手术组Harris评分均高手术前,与术前比较,差异有统计学意义(P<0.05);两组间比较差异无统计学意义。结论采用THA治疗髋关节感染继发骨关节炎的患者满意率较高,术后功能恢复好,并发症发生率较低,在缓解临床症状及改善功能方面具有显著优势,可获得较好的远期疗效。OBJECTIVE To evaluate long-term efficacy of total hip arthroplasty（THA）for treatment of osteoarthritis secondary to hip infections so as to provide reference for clinical treatment.METHODS Between Mar.2004 and Jan.2010,72 patients with osteoarthritis secondary to hip sepsis underwent THA.The clinical data of these patients were retrospectively analyzed in this study.Among these patients,40 patients underwent conventional treatment,and 32 patients received drainage treatment.Follow-ups were conducted at three months,six months,one year and every two years after treatment during which patients were observed for walking gait,equal length of both lower extremities and Trendelenburg sign.The joint function was evaluated by Harris scores.The software SPSS17.0was used for statistical analysis of data.RESULTS The difference was significant in Harris hip scores compared to the preoperative scores（P〈0.05）.At the final follow-up,the difference was significant in Harris hip scores in both operative and non-operative groups compared to the preoperative scores（P〈0.05）.There was no significance in inter-group comparison.CONCLUSIONPatients had high satisfaction rate of THA treatment for hip osteoarthritis secondary to hip infections,good recovery of postoperative function and a low incidence of complications,indicating THA had significant advantages in relieving clinical symptoms and improving functions which can achieve better long-term outcomes.

关 键 词：人工髋关节置换术 髋关节 感染 临床疗效 

分 类 号：R687.4[医药卫生—骨科学]