短间隔分期双侧置换治疗强直性脊柱炎伴双髋关节骨性强直的疗效分析  

Analysis of the effect of short interval staged bilateral replacement in the treatment of ankylosing spondylitis combined with bilateral hip bony ankylosis

作　　者：韩博闻[1] 殷力[1] 韩奇财[1] 娄超举[1] 李弘帅[1] 胡明鑫[1] 

机构地区：[1]郑州大学第一附属医院骨科,河南郑州450052

出　　处：《河南医学研究》2015年第8期29-31,共3页Henan Medical Research

摘　　要：目的探讨短间隔分期双侧置换治疗强直性脊柱炎(ankylosing spondylitis,AS)伴双髋关节骨性强直的临床疗效。方法回顾性研究2010年10月至2014年10月收治的21例(42髋)强直性脊柱炎双髋关节骨性强直患者,采用短间隔(双侧手术间隔<1个月)分期双侧人工全髋关节置换术(short interval staged bilateraltotal hip arthroplasty,SISBTHA)。比较患者术前及末次随访的Harris评分、疼痛视觉模拟评分(VAS)、髋关节总活动度、健康调查简表(SF-36),以及观察术后并发症发生情况。结果末次随访时Harris评分、髋关节总体活动度和SF-36评分均较术前显著升高(P<0.05),VAS评分较术前显著降低(P<0.05)。6髋出现轻度异位骨化,3髋发生股骨前外侧间断性隐痛,对功能无明显影响,无1例出现股神经损伤。结论短间隔分期双侧置换可重建髋关节功能,提高生活质量,是一种有效而可靠的方法。Objective To discuss the clinical effects of short interval staged bilateral replacement in the treatment of ankylosing spondylitis（AS）combined with bilateral hip bony ankylosis. Methods 21 cases（42 hips）of ankylosing spondylitis combined with bilateral hip bony ankylosis hospitalized from October of 2010 to October of 2014 were enrolled and received short interval（bilateral operation interval〈 1 month）staged bilateral total hip arthroplasty. The Harris score,visual analogue score （VAS）,total hip joint activity,short form health survey（SF - 36）were compared between pre - operation and the last follow -up,and the postoperative complications were observed. Results The Harris score,total hip joint activity and SF - 36 score on the last follow - up day were markedly increased than those before operation. The VAS score of the last follow - up day were markedly decreased than those before operation. 6 hips had mild heterotopic ossification,and 3 hips had femoral anterolateral intermittent pain,but those had no obvious effect on the function. There were no femoral nerve injury. Conclusion SISBTHA can reconstruct the hip joint function,improve the quality of life,which is an effective and reliable method.

关 键 词：强直性脊柱炎 分期置换 髋 骨性强直 

分 类 号：R681.51[医药卫生—骨科学]