晚期强直性脊柱炎致髋关节强直行全髋关节置换的疗效分析  

Analysis on curative effect of total hip arthroplasty in treatment for hip ankylosis caused by ankylosing spondylitis(AS)in late stage

作　　者：梁一鸣 李彪[1] 杨毅[1] 刘俊洪 曾鑫 李楠曦 LIANG Yiming;LI Biao;YANG Yi;LIU Jumhong;ZENG Xin;LI Nanxi(Department of Orthopedics,First Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)

机构地区：[1]昆明医科大学第一附属医院骨科,云南昆明650032

出　　处：《云南医药》2023年第3期77-80,共4页Medicine and Pharmacy of Yunnan

基　　金：云南省教育厅科学研究基金项目(K13219557)。

摘　　要：目的对AS晚期引起髋关节强直行THA治疗的临床疗效分析。方法回顾性研究自2019年6月-2022年12月收入昆明医科大学第一附属医院骨科9例(13侧髋)符合诊断与纳入标准的患者的一般资料,对其术前和末次随访时的患侧髋关节屈曲活动度、Harris髋关节评分、VAS评分、ASDAS指数、BASFI指数、ASQOL问卷评分和BASRI-hip影像学指数进行统计与计算,以评估本组患者的手术疗效。结果本组平均随访24.08±5.95个月,末次随访与术前对比,患髋屈曲活动度活动度明显改善。经过THA治疗,Harris、VAS、ASDAS、BASFI和ASQOL评分均显著改善,且具有统计学意义(P<0.001)。结论THA是针对改善AS致髋关节强直引起功能障碍和生活质量下降的有效治疗手段。Objective To analyze the clinical curative effect of total hip arthroplasty(THA)in treatment for hip ankylosis caused by ankylosing spondylitis(AS)in late stage.Methods A retrospective study was conducted on the general data of 9 patients(13 hip joints)admitted to the Department of Orthopedics of the First Affiliated Hospital of Kunming Medical University from June 2019 to December 2022 who met both diagnostic and inclusion criteria.The flexion motion of the affected hip joint,Harris hip score,visual analogue scale(VAS)score,ankylosing spondylitis disease activity score(ASDAS)index,and Bath ankylosing spondylitis function index(BASFI)index,ASQOL questionnaire score and BASRI-hip imaging index were statistically calculated before the operation and at the last follow-up,so as to evaluate the operative effect of this group patients.Results The average follow-up period of this group was 24.08±5.95 months,the flexion range of motion of the affected hip had significantly improved compared to preoperative at the last follow-up.Through the treatment of THA,Harris,VAS,ASDAS,BASFI index,and ASQOL scores all showed a significant improvement,with the Results were statistically significant(P<0.001).Conclusions THA is an effective treatment for improving the dysfunction and life quality decline of hip ankylosis caused by AS.

关 键 词：强直性脊柱炎 髋关节强直 全髋关节置换术 髋关节活动度 生活质量 

分 类 号：R687.4[医药卫生—骨科学]