2015-2022年日照地区初次全髋关节置换病因及趋势分析  

Clinical characteristics and trends of primary total hip arthroplasty in Rizhao area of China from 2015 to 2022

作　　者：刘玉龙 梁明 董国华 周洪杰 朱明 徐立国 王明亮 LIU Yulong;LIANG Ming;DONG Guohua;ZHOU Hongjie;ZHU Ming;XU Liguo;WANG Mingliang(Department of Orthopedics,Rizhao Hospital of Traditional Chinese Medicine,Rizhao,Shandong 276800,China;Department of Orthopedics,People’s Hospital of Rizhao,Rizhao,Shandong 276800,China;Department of Orthopedics,Rizhao Central Hospital,Rizhao,Shandong 276800,China)

机构地区：[1]日照市中医医院骨科,山东日照276800 [2]日照市人民医院骨科,山东日照276800 [3]日照市中心医院骨科,山东日照276800

出　　处：《医药前沿》2023年第10期22-26,共5页Journal of Frontiers of Medicine

基　　金：日照市中医药科技项目(RZY2022A05)。

摘　　要：目的:分析2015—2022年日照地区行初次全髋关节置换术患者的病例特征及趋势变化。方法:分析2015年1月—2022年12月在日照市主城区3所医院收治的2847例行初次人工全髋关节置换患者的病例资料,统计每年的病因构成及其在性别、年龄及发病趋势上的分布特点。结果:在2847例全髋关节置换术患者中,股骨头缺血性坏死1643例(57.7%);髋部骨折882例(31.0%);原发性髋关节骨关节炎176例(6.2%);先天性髋关节发育不良128例(4.5%);类风湿性关节炎累及髋关节9例(0.3%);强直性脊柱炎累计髋关节7例(0.2%);感染性关节炎2例(0.1%)。50岁以上患者占89.5%,男性所占比例高于女性。结论:日照地区行人工髋关节置换的患者数量呈逐年上升趋势,以50岁以上患者为主,男性多于女性,主要病因是股骨头缺血性坏死和髋部骨折,预防这两类病因对减少人工全髋关节置换手术患者的数量有重要的意义。Objective To investigate the clinical characteristics and trend of patients who underwent primary total hip arthroplasty(THA)in Rizhao area from 2015 to 2022.Methods A study was performed in 2847 patients who received primary total hip arthroplasty in three hospitals in Rizhao area from January 2015 to December 2022.The diagnosis,sex and age distributions of the patients were analyzed each year.Results Among the involved 2847 patients,there were 1643 cases(57.7%)of avascular necrosis of femoral head(ONFH),882 cases(31.0%)of hip fracture(HF),176 cases(6.2%)of primary osteoarthritis(OA),128 cases(4.5%)of developmental dysplasia of hip(DDH),9 cases(0.3%)of rheumatoid arthritis(RA),7 cases(0.2%)of ankylosing spondylitis(AS),2 cases(0.1%)of infective arthritis(IA).The proportion of patients over 50 years old was 89.5%,and the proportion of male patients was higher than that of female patients.Conclusion The total number of patients undergoing primary THA in Rizhao area showed an increasing trend in the last 8 years.The major causes include avascular necrosis of femoral head and hip fracture,the main patients are over 50 years old,and the proportions of male patients is higher than that of the female patients.

关 键 词：全髋关节置换 年龄 性别 相关因素 股骨头缺血性坏死 髋部骨折 

分 类 号：R684[医药卫生—骨科学]