全髋关节置换术治疗成人髋臼发育不良的临床研究  

A clinical study on treating DDH by total hip replacement

作　　者：何龙[1] 陈秀民[1] 王在斌[1] 葛占洲[1] 韩鹏[1] 

机构地区：[1]濮阳市中医院,河南濮阳457003

出　　处：《中医临床研究》2016年第20期111-113,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的：探讨全髋关节置换术治疗成人髋臼发育不良（ DDH） 的手术方式及临床疗效。方法：对 11 例（ 12 髋） 因DDH 致髋关节骨性关节炎患者行全髋关节置换术。根据 Crowe 分期，Ⅰ期 2 髋，Ⅱ期3 髋，III 期 4 髋，IV 期 3 髋。术前 Harris评分为 20 ～ 55 分，平均 46 分。 结果：11 例均获随访，时间 6 个月～ 5 年，平均随访时间为3.5 年。术后 Harris 评分为 82 ～ 95 分，平均 90 分。结论：全髋置换术解除患者症状，改善关节功能，提高生活质量，是一种行之有效的治疗方法。手术成功的关键在于髋臼的重建与假体的选择。Objective: To explore clinical efficacy of total hip replacement on DDH. Methods: 12 cases were given total hipreplacement. According to Crowe, 2 cases is from Ⅰ period; 3 cases is from Ⅱ period; 4 cases is from III period; 3 cases is from IV period.Before treatment, Harris scores were 20~55, average 46. Results: 12 cases were followed up for 6 months to 5 years, average 3.5 years.After treatment, Harris were 82~95, average 90. Conclusion: Total hip replacement was effective on DDH, by relieving symptoms andimproving joint function.

关 键 词：全髋置换术 髋臼发育不良 髋臼重建 

分 类 号：R322.72[医药卫生—人体解剖和组织胚胎学]