全髋关节置换术治疗老年髋关节发育不良继发骨关节炎疗效探讨  

Therapeutic Effect of Total Hip Arthroplasty on Osteoarthritis in Elderly Patients with Hip Dysplasia

作　　者：吕东[1] LYU Dong(Department of Joint Sports Medicine, Tengzhou City Center Peopled Hospital, Tengzhou, Shandong Province, 277500 China)

机构地区：[1]滕州市中心人民医院关节运动医学科

出　　处：《系统医学》2019年第14期52-54,共3页Systems Medicine

摘　　要：目的探讨治疗老年髋关节发育不良继发骨关节炎应用全髋关节置换术的效果评价。方法选择从2018年1月-2019年1月收治的80例髋关节发育不良继发骨关节炎的老年患者纳入该次研究工作,采用奇偶法将其分为试验组和对照组,每组40例,其中对照组采用关节成形术治疗,试验组采用全髋关节置换术治疗,对比两组患者治疗前后髋关节功能评分、生活质量改善情况、并发症发生率。结果试验组假体松动脱位0例、静脉血栓1例、感染0例、假体周围骨折0例,总发生1例,对照组假体松动脱位2例、静脉血栓3例、感染2例、假体周围骨折3例,总发生10例,并发症发生率1(2.5%)例低于对照组10(25.00%)例,组间对比差异有统计学意义(X^2=8.537 5,P<0.05);治疗前两组患者髋关节功能比较,差异无统计学意义(P>0.05),治疗后试验组评分(89.26±5.59)分高于对照组(72.26±4.23)分,数据对比差异有统计学意义(t=15.337 5,P<0.05);治疗前两组患者身体功能、生理状态、心理状态等评分比较差异无统计学意义(P>0.05),治疗后试验组身体功能、生理状态、心理状态等评分均高于对照组身体功能、生理状态、心理状态等评分,数据对比差异有统计学意义(P<0.05)。结论髋关节发育不良继发骨关节炎采用全髋关节置换术治疗,可全面改善患者髋关节功能,提高其生活质量,并且临床并发症发生率相对较低,治疗安全系数较高。Objective To evaluate the effect of total hip arthroplasty in the treatment of osteoarthritis in elderly patients with hip dysplasia.Methods Eighty elderly patients with osteoarthritis secondary to hip dysplasia who were admitted from January 2018 to January 2019 were enrolled in the study.They were divided into experimental group and control group by parity method,40 patients in each group;and the control group was treated with arthroplasty.The experimental group was treated with total hip arthroplasty.The hip function scores,quality of life improvement,and complication rate were compared before and after treatment.Results In the experimental group,0 cases of loosening and dislocation of the prosthesis,1 case of venous thrombosis,0 cases of infection,0 cases of periprosthetic fracture,1 case occurred,2 cases of loosening and dislocation of the prosthesis,3 cases of venous thrombosis,2 cases of infection,3 cases of periprosthetic fractures,and 10 cases were always present,the complication rate was 1 cases(2.5%),and lower than the control group 10 cases(25.00%),and the difference was statistically significant(χ~2=8.537 5,P<0.05);there was no statistically significant difference in hip function between the two groups before treatment(P>0.05).After treatment,the score of the test group(89.26±5.59)points was higher than that of the control group(72.26±4.23)points,and there was a significant difference in data contrast(t=15.337 5,P<0.05).There was no statistically significant difference in physical function,physiological state,and mental state between the two groups before treatment(P>0.05),the body function,physiological state,and psychology of the experimental group after treatment.The scores of the state and other scores were higher than those of the control group,such as physical function,physiological state,and mental state.The difference were statistically significant(P<0.05).Conclusion Hip joint dysplasia secondary to osteoarthritis is treated with total hip arthroplasty,which can improve the hip function an

关 键 词：髋关节 治疗措施 发育不良 骨关节炎 

分 类 号：R684.3[医药卫生—骨科学]