骨水泥聚乙烯内衬技术在髋关节翻修术中的应用价值观察  

Application value of bone cement polyethylene lining technique in hip joint revision

作　　者：罗天放 王明 邢孟勇 LUO Tianfang;WANG Ming;XING Mengyong(Department of Orthopedics,Xinzheng Huaxin Minsheng Hospital,Zhengzhou,Henan 451100,China)

机构地区：[1]新郑华信民生医院骨科,河南郑州451100

出　　处：《中国医学工程》2023年第1期78-81,共4页China Medical Engineering

摘　　要：目的观察骨水泥聚乙烯内衬技术在髋关节翻修术中的应用价值。方法回顾性分析2019年5月至2021年1月在新郑市人民医院行髋关节翻修术的68例患者的临床资料。根据手术方式的不同将68例患者分为单纯聚乙烯内衬更换组(30例)和骨水泥聚乙烯内衬置换组(38例),两组患者均随访15个月,比较两组患者髋关节功能、骨盆前后正位X射线检查情况以及翻修后并发症发生情况。结果末次随访时单纯聚乙烯内衬更换组和骨水泥聚乙烯内衬置换组的疼痛、功能、畸形、关节活动及Harris总分均高于手术前(P<0.05),且两组末次随访时的疼痛、功能、畸形、关节活动及Harris总分比较,差异无统计学意义(P>0.05);末次随访时单纯聚乙烯内衬更换组的髋关节功能优良率为90.00%,骨水泥聚乙烯内衬置换组的髋关节功能优良率为94.74%,两组比较,差异无统计学意义(P>0.05);两组患者连续性复查X射线片对比结果显示均未出现假体周围骨溶解、髋臼杯前倾角及外展角改变、假体松动等情况;围手术期内,单纯聚乙烯内衬更换组出现1例假体脱位,发生率为3.33%,骨水泥聚乙烯内衬置换组无假体脱位发生,且两组均未出现切口及假体周围感染、术区血肿。结论骨水泥聚乙烯内衬技术对于需要进行髋关节翻修术且保留稳定性良好的髋臼杯患者的修复效果显著,并且围术期并发症发生率低。【Objective】To observe the application value of bone cement polyethylene lining technique in hip joint revision.【Methods】A retrospective analysis was performed on the clinical data of 68 patients undergoing hip joint revision in the hospital between May 2019 and January 2021.According to different surgical methods,they were divided into simple polyethylene lining change group(30 cases)and bone cement polyethylene lining change group(38 cases).All were followed up for 15 months.The hip function,anteroposterior pelvis conditions by X-rays and complications after revision were compared between the two groups.【Results】At the last follow-up,scores of pain,function,deformity and joint activity,and total score of Harris were higher than those before surgery in both groups(P<0.05),but there was no significant difference between the two groups(P>0.05).At the last follow-up,difference in good rate of hip function between simple polyethylene lining change group and bone cement polyethylene lining change group was not statistically significant(90.00%vs.94.74%)(P>0.05).The comparison results of continuous X-rays examinations showed that there was no periprosthetical osteolysis,changes in anteversion and abduction angles of acetabular cup,or prosthesis loosening.During perioperative period,there was 1 case(3.33%)with prosthesis dislocation in simple polyethylene lining change group.There was no prosthesis dislocation in bone cement polyethylene lining change group.There was no infection around incision and prosthesis or hematoma in either group.【Conclusion】The repair effect of bone cement polyethylene lining technique is significant in patients with good stability of acetabular cup who need hip joint revision,with low incidence of perioperative complication.

关 键 词：骨水泥聚乙烯内衬技术 聚乙烯内衬更换 髋关节翻修术 

分 类 号：R687[医药卫生—骨科学]