强直性脊柱炎全髋关节置换后导致功能不良的相关因素  

Hip dysfunction-associated factors after total hip arthroplasty for ankylosing spondylitis

作　　者：陈文忠[1] 于涛[1] 赵亚楠[1] 李锐[1] 李世龙[1] 刘波[1] 蒋家斌[1] 

机构地区：[1]吉林大学第二医院,吉林省长春市130000

出　　处：《中国组织工程研究》2016年第4期589-594,共6页Chinese Journal of Tissue Engineering Research

基　　金：吉林省科技发展计划项目(20150414006G H)~~

摘　　要：背景:全髋关节置换是目前修复强直性脊柱炎髋关节病变的有效方法。但是长期的随访研究表明,全髋关节置换后一直存在髋关节功能不良的问题,而且尚缺少最佳的康复方案。目的:系统综述强直性脊柱炎患者行全髋关节置换后功能不良的影响因素。方法:由第一、二作者应用计算机检索1970年1月至2015年7月Pub Med、Sciencedirect、Medline、中国知网、万方数据库的相关文章,检索词为"arthroplasty,replacement,hip,spondylitis,ankylosing,function,关节成形术,置换,髋,脊柱炎,强直性,功能"。分类筛选符合研究目的的文献进行评价。结果与结论:共选取40篇文献进行综述,其中中文8篇,英文32篇。全髋关节置换后髋关节功能不良主要与患者因素、疾病因素、置换手术因素、假体因素、置换后康复和置换后并发症发生等几大方面有关,尽量避免上述影响因素可改善强直性脊柱炎患者全髋关节置换后的关节功能,提高生活质量。BACKGROUND： Total hip arthroplasy is an effective method to treat hip disease caused by ankylosing spondylitis. Long-term follow-up studies have shown that there have been hip function problems after total hip arthroplasy, and it still lacks of perfect rehabilitation programs. OBJECTIVE： To systematically review the influential factors for dysfunction after total hip arthroplasy inankylosing spondylitis patients. METHODS： The first and second authors retrieved Pub Med and Sciencedirect Databases, CNKI, and Wanfang digital database for relevant articles published from January 1970 to July 2015. The key words were ＂arthroplasty, replacement, hip, spondylitis, ankylosing, function＂. Finally, relevant articles were included. RESULTS AND CONCLUSION： A total of 40 articles were summarized, including 8 Chinese articles and 32 English articles. After total hip arthroplasy, hip function problems were mainly associated with patient＇s factors, disease, surgery, prosthesis, postoperative recovery and postoperative complications. Avoiding above relevant factors can improve joint function after total hip arthroplasy for ankylosing spondylitis patients, and improve patient＇s quality of life.

关 键 词：关节成形术 置换 髋 脊柱炎 强直性 假体植入 手术后并发症 组织工程 骨科植入物 人工假体 强直性脊柱炎 全髋关节置换 假体 并发症 髋关节功能 功能不良 影响因素 

分 类 号：R318[医药卫生—生物医学工程]