人工髋关节置换术治疗股骨近端骨肿瘤的疗效及安全性分析  

Analysis of the efficacy and safety of artificial hip replacement in the treatment of proximal femoral bone tumor

作　　者：刘剑帆[1] 罗毅[1] 徐学政[1] 李林勍[1] 李先安[1] 黄钢[1] LIU Jianfan LUO Yi XU Xuezheng LI Linqing LI Xian＇an HUANG Gang(Hu＇nan Cancer Hospital, Changshang 410013, China)

机构地区：[1]湖南省肿瘤医院,湖南长沙410013

出　　处：《中国现代医生》2017年第8期77-79,82,共4页China Modern Doctor

摘　　要：目的探讨人工髋关节置换术治疗股骨近端骨肿瘤的安全性及疗效。方法随机选取我院2013年6月~2015年1月就诊的股骨近端骨肿瘤患者72例,分为两组。其中对照组36例,行肿瘤刮除、大段异体骨植入、自体骨灭活回植等常规手术治疗,观察组36例,行人工髋关节置换术治疗。将两组手术出血量及手术持续时间等风险因素及术后髋关节功能恢复、生活质量等预后情况进行比较。结果两组手术风险因素比较差异无统计学意义(P>0.05);观察组住院时间短于对照组(P<0.05);观察组髋关节功能优良率高于对照组(P<0.05);观察组躯体活动、疼痛、情感、睡眠、社会活动、精力评分均优于对照组(P<0.05);两组肿瘤复发转移率及死亡率无明显差异。结论对股骨近端骨肿瘤患者采取人工全髋关节置换术能促进髋关节功能恢复,提高患者生活质量,且预后较好。Objective To explore the safety and efficacy of artificial hip replacement in the treatment of proximal femoral bone tumor. Methods A total of 72 patients with proximal femoral ＇bone tumor who were diagnosed in our hos- pital from June 2013 to January 2015 were selected and divided into two groups. 36 cases in the control group were given tumor curettage, large segment of allogeneic bone implantation, autologous bone inactivation and replantation and other conventional surgical treatment. 36 cases in the observation group were given artificial hip replacement surgery. The risk factors such as the amouni of bleeding during operation and the duration of operation, as well as the prognosis of postoperative hip function recovery and quality of life were compared. Results There was no statistically significant difference in the risk factors of surgery between the two groups （P〉0.05）; the length of hospital stay in the observation group was shorter than that in the control group （P〈0.05）; the excellent and good rate of hip function in the observation group was higher than that in the control group （P〈0.05）; the physical activity, pain, emotion, sleep, social activity and energy score in the observation group were better than those in the control group （P〈0.05）; there was no significant dif- ference in tumor recurrence, metastasis rate and mortality between the two groups. Conclusion Artificial total hip re- placement can improve the recovery of hip function and improve the quality of life of patients with proximal femoral bone tumor, and the prognosis is better.

关 键 词：股骨近端 骨肿瘤 人工髋关节置换术 

分 类 号：R738.1[医药卫生—肿瘤]