老年髋关节置换术后早期脱位的相关因素研究  

Related Factors Study for Early Dislocation in Elderly Hip Arthroplasty

作　　者：张长青[1] 张春啸 霍丽丽[1] 王艳彬[1] 徐国辉[2] 王卫国[3] 

机构地区：[1]河北省衡水市第四人民医院骨科,河北衡水053000 [2]河北医科大学第三医院骨二科,河北石家庄050051 [3]中南大学湘雅三医院骨科,湖南长沙410013

出　　处：《现代生物医学进展》2016年第24期4737-4739,共3页Progress in Modern Biomedicine

基　　金：河北省教育厅科学技术研究项目(2011658)

摘　　要：目的:探讨老年髋关节置换术后发生早期脱位的相关因素。方法:选取在我院行髋关节置换术治疗的老年患者110例,随访3个月,并对置换术后可能导致早期脱位的7个因素进行单因素和多因素Logistic回归分析。结果:单因素分析发现,性别、年龄、手术方式、人工股骨头直径大小这4个因素在有脱位组和无脱位组间的差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,导致早期脱位的3个危险因素分别是年龄(X2=16.572,P=0.000)、手术方式(X2=5.283,P=0.021)、人工股骨头直径大小(X2=5.498,P=0.019)。结论:老年髋关节置换术后早期脱位的发生可能受多个因素的影响,术前及术中应充分考虑各危险因素,从而选择最佳治疗方案。Objective： To investigate the related factors for early dislocation of elderly patients after hip arthroplasty. Methods： Between 110 cases of elderly patients who had hip replacement surgery in our hospital were chosen in this study. Each patient was followed up for 3 months. Seven potential factors associated with occurrence of early dislocation were evaluated by univariate analysis and multivariate Logistic regression analysis. Results： The univariate analysis results showed that gender, age, surgical approach and femoral head diameter were correlated with early dislocation （P 〈0.05）. Multivariate logistic regression analysis results showed that risk factors leading to early dislocation were age （X^2=16.572, P=0.000）, surgical approach （X^2=5.283, P=0.021） and femoral head diameter （ X^2=5.498, P=0.019）. Conclusion： Occurrence of early dislocation after elderly hip replacement may be affected by many factors. Preoperative and intraoperative risk factors should be considered in order to select the best treatment.

关 键 词：老年髋关节置换术 脱位 相关因素 

分 类 号：R681.8[医药卫生—骨科学]