先天性髋关节发育不良全髋置换术偏心距重建前后对比研究  

Comparative analysis of preoperative and postoperative femoral offset in congenital hip dysplasia treated with total hip replacement

作　　者：黄自强[1] 朱颖[1] 麻妙群[1] 季卫平[1] 柴伟[2] 崔国鹏[1] 周勇刚[1] 

机构地区：[1]浙江省丽水市人民医院,丽水323000 [2]中国人民解放军总医院(301 医院)

出　　处：《浙江创伤外科》2015年第2期226-230,共5页Zhejiang Journal of Traumatic Surgery

基　　金：浙江省丽水市科技局资助课题

摘　　要：目的：探讨各种类型的先天髋关节发育不良全髋置换术前、术后偏心距数据变化的对比研究。方法对国人78例先髋患者（Ⅰ～Ⅲ型）术前、术后股骨偏心距的测量，比照前后数据，对所测数据用SPSS软件进行处理。结果78例患者全部纳入研究结果分析。术前偏心距：（33.27±8.36）mm、术后偏心距数据：（39.09±7.10）mm；测量结果存在正相关，P〈0.001。结论术后偏心距与正常人相比无明显统计学差异，说明术后髋周恢复了接近正常的生理解剖。各型先髋（Ⅰ～Ⅲ型）数据统计显示脱位数据越多，术后恢复的偏心距数值越大，成正比关系。Objective To explore the preoperative and postoperative hip circumference data of the various types of congenital hip dysplasia treat-ed with total hip replacement. Methods There were 78 cases congenital hip dysplasia patients （TypeⅠ-Ⅲ） included in this study. The preoperative and postoperative femoral offset were measured. Statistical analysis was performed by SPSS 17.0 software. Results Preoperative femoral offset was 33.27＆#177; 8.36 mm. Postoperative femoral offset was 39.09 ＆#177; 7.10 mm. Conclusion Postoperative hip had no significantly statistical differences compared with normal data parameters. The description of postoperative hip returned to near normal physiological anatomy of each model （TypeⅠ-Ⅲ）. The data indicated that the more dislocation, the greater the postoperative hip offset. They have proportional relationship.

关 键 词：先天性髋发育不良 全髋置换术 股骨偏心距 

分 类 号：R687.3[医药卫生—骨科学]