Corail假体与Summit假体在全髋关节置换术后的中长期疗效比较  

Comparison of Long-term Efficacy of Corail Prosthesis and Summit Prosthesis in Total Hip Arthroplasty

作　　者：任庭杰 陈扬 陈国强[2] 郇亚威 袁俊虎 陈雨航 陈贤艺 傅煊健 曹兴泽 华志勋 曾巍 包志强 施生民 REN Ting-jie;CHEN Yang;CHEN Guo-qiang;HUAN Ya-wei;YUAN Jun-hu;CHEN Yu-hang;CHEN Xian-yi;FU Xuan-jian;CAO Xing-ze;HUA Zhi-xun;ZENG Wei;BAO Zhi-qiang;SHI Sheng-min(Zhuhai Campus of Zunyi Medical University,Guangdong Zhuhai 519041;The First People's Hospital of Foshan,Guangdong 3D Orthopaedics Engineering Research Center of Bionic Translational Medicine,Foshan Orthopedics 3D Digital Precision Biomimetic Transformation Medical Engineering Technology Research Center,Guangdong Foshan 528000;Guangdong Medical University,Guangdong Zhanjiang 524023)

机构地区：[1]遵义医科大学珠海校区,广东珠海519041 [2]佛山市第一人民医院、广东省3D骨科仿生转化医学工程技术研究中心、佛山市骨科3D数字化精准仿生转化医学工程技术研究中心,广东佛山528000 [3]广东医科大学研究生院,广东湛江524023

出　　处：《深圳中西医结合杂志》2023年第12期4-7,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：佛山市医学类科技攻关项目(2018AB002231)。

摘　　要：目的:比较Corail羟基磷灰石全涂层股骨柄假体(简称Corail假体)与Summit半涂层型股骨柄假体(简称Summit假体)在行全髋关节置换术(THA)患者中的中长期疗效。方法:回顾性分析2018年8月至2020年2月在佛山市第一人民医院关节骨外科行THA的患者32例,根据患者术中使用的股骨柄假体类型分为观察组(Corail假体)17例和对照组(Summit假体)15例,手术均由同一组术者完成,且假体放置位置正确,术后康复计划相同。在患者术中及术后1 d、3d、1周、3周、1个月、3个月、6个月、9个月、1年时进行院内及门诊随访,比较两组患者的手术失血量、切口长度、临床疗效、出院时间、手术前后Harris评分以及视觉模拟评分法(VAS)评分。结果:32例患者术后的伤口均甲级愈合,术后第1年内没有患者需要翻修。两组患者的围手术期相关指标比较,差异均无统计学意义(P>0.05)。所有患者术后的Harris评分相比于术前均有所增加,并且随着时间的增加而增加,同时VAS评分均有所下降,而两组之间比较,差异均无统计学意义(P>0.05);术后1年对患者影像学进行检查时,对照组有4例出现透亮线,观察组有2例出现骨下沉,但无松动;末次随访时,两组股骨柄均无骨溶解、假体松动、无假体周围感染及骨折,假体生存率良好。结论:THA患者使用Corail假体与Summit假体在中长期术后恢复的效果无显著差异,两种假体在术后影像学方面的变化差别不大,患者术后均能获得较好固定。Objective To compare the medium and long-term efficacy of Corail hydroxyapatite fully coated femoral stem prosthesis(Corail prosthesis)and Summit semi coated femoral stem prosthesis(Summit prosthesis)in patients undergoing total hip arthroplasty(THA).Methods Retrospective analysis was made on 32 patients who underwent THA in articular bone surgery department of the First People's Hospital of Foshan from August 2018 to February 2020.According to the type of femoral stem prosthesis used in the surgery,the patients were divided into an observation group(Corail prosthesis)with 17 cases and a control group(Summit prosthesis)with 15 cases.The surgery was completed by the same group of operators,and the prosthesis was placed in the correct position.The postoperative rehabilitation plan was the same.During 1 day,3 days,1 week,3 weeks,1 month,3 months,6 months,9 months,and 1 year after surgery,patients were followed up in the hospital and outpatient department to compare the surgical blood loss,incision length,clinical efficacy,discharge time,Harris score before and after surgery,and visual analogue scale(VAS)score between the two groups of patients.Results The wounds of 32 patients healed in Grade A,and no patients needed revision in the first year after operation.There was no significant difference in perioperative related indexes between the two groups(P>0.05).All patients had an increase in the Harris score postoperatively compared with preoperatively and with time,as well as a decrease in the VAS score,as compared between the two groups,there was no significant difference between the two groups(P>0.05),4 cases in the control group showed clear line and 2 cases in the observation group showed bone subsidence but no loosening when the imaging examinations were performed one year after operation,there were no osteolysis,loosening of prosthesis,infection and fracture around prosthesis in both groups,and the survival rate of prosthesis was good.Conclusion There is no significant difference in the recovery effect between C

关 键 词：全髋关节置换术 Corail羟基磷灰石全涂层股骨柄假体 Summit半涂层型股骨柄假体 

分 类 号：R687.42[医药卫生—骨科学]