影响人工股骨头置换术后髋关节脱位的相关因素分析  

Analysis of Related Factors of Hip Dislocation after Artificial Femoral Head Replacement

作　　者：李清[1,2] LI Qing(School of Mathematics and Computer Sciences, Shanxi Datong University, Datong Shanxi, 03700)

机构地区：[1]大同市第三人民医院骨科,山西大同037008 [2]山西大同大学附属医院,山西大同037008

出　　处：《山西大同大学学报（自然科学版）》2018年第4期43-46,共4页Journal of Shanxi Datong University(Natural Science Edition)

摘　　要：目的探讨分析影响人工股骨头置换术后髋关节脱位的相关因素。方法选取来我院接受人工股骨头置换术治疗的髋部损伤患者100例,根据X线检查结果,将所有患者分为股骨头脱位组和非脱位组。对可能导致人工股骨头置换术后髋关节脱位的因素进行检验分析,差异有统计学意义的指标进行多因素非条件logistic回归分析,分析相关因素。结果脱位组患者的性别、股骨假体类型与非脱位组相比,差异无统计学意义。脱位组中合并有神经肌肉系统疾病的比例明显高于非脱位组。脱位组患者的受伤到手术时间、股骨偏距(健侧/患侧)、股骨头直径(健侧/患侧)与非脱位组相比,差异无统计学意义。脱位组患者的年龄、X线片上小转子到泪滴连线的垂直距离(健侧/患侧)与非脱位者比较,差异有统计学意义。多因素非条件logistics回归分析结果所示:脱位组患者的年龄及有无合并神经肌肉系统疾病与非脱位组相比,差异有统计学意义;而小转子到泪滴连线的垂直距离(健侧/患侧)脱位组与非脱位组比较,差异无统计学意义。结论人工股骨头置换术后髋关节脱位的相关因素是患者高龄且合并神经肌肉系统疾病。Objective To investigate and analyze the related factors of hip dislocation after artificial femoral head replacement.Methods Selected 100 cases with hip injuries treated with artificial femoral head replacement in our hospital,all patients underwent X-ray examination of the hip joint. According to test results, all patients were divided into femoral head dislocation group and non dislocation group. Tested and analyzed the factors that may cause dislocation of hip joint after artificial femoral head replacement, analyzed the indicators with statistically significant differences by multivariate unconditional logistic regression, and analyzed the related factors. Results There was no significant difference in sex, type of femoral prosthesis was sutured between the dislocated group and the non-dislocation group（X2=0.018, 1.690, P0.05）. The proportion of the patients with neuromuscular diseases in the dislocation group was significantly higher than that in the non dislocation group（X2=7.479, P0.05）. Injury to the operation time, femoral offset（ipsilateral/contralateral）, the diameter of the femoral head（ipsilateral/contralateral） among patients with dislocation compared with non dislocation group, the difference was not statistically significant（U =1.871, 0.264, 2.026, P0.05）. The age, the vertical distance between the small trochanter and the teardrop line（the uninjured side/the affected side） in the X-ray group of the dislocation group were significantly different from those in the non dislocation group（U, =3.360, P0.05）. Multivariate unconditional logistic regression analysis showed the results： The age of the dislocation group and the presence of neuromuscular diseases were statistically significantly different from those of the non dislocation group（P0.05）. There was no significant difference in the vertical distance between the small rotor and teardrop line（the contralateral/affected side） and the non dislocation group（P0.05）. Conclusion The related factors of hip dislo

关 键 词：股骨头置换术 髋关节脱位 相关因素 年龄 

分 类 号：R683.4[医药卫生—骨科学]