骨水泥型假体与非骨水泥型假体全髋关节置换术对髋部终末期疾病的临床疗效  

Clinical effect of cemented total hip replacement and uncemented total hip replacement on end-stage hip disease

作　　者：乙军 吴勇 张诗坤 庄怀伟 张大威 YI Jun;WU Yong;ZHANG Shikun;ZHUANG Huaiwei;ZHANG Dawei(Department of Orthopedics,the Affiliated Shuyang Hospital of Xuzhou Medical University,Suqian,Jiangsu,223600,China;Central laboratory,the Affiliated Shuyang Hospital of Xuzhou Medical University,Suqian,Jiangsu,223600,China)

机构地区：[1]徐州医科大学附属沭阳医院关节外科,江苏宿迁223600 [2]徐州医科大学附属沭阳医院中心实验室,江苏宿迁223600

出　　处：《当代医学》2023年第29期12-16,共5页Contemporary Medicine

摘　　要：目的探究骨水泥型假体(CTR)与非骨水泥型假体全髋关节置换术(UTR)对髋部终末期疾病的临床疗效。方法选取2016年1月至2019年12月于徐州医科大学附属沭阳医院行全髋关节置换术的129例髋部终末期疾病患者作为研究对象,根据关节置换术术式不同分为CTR组(n=66)与UTR组(n=63)。比较两组围手术期指标、髋关节Harris评分、视觉模拟评分法(VAS)评分、术后并发症发生情况,分析典型病例X线片。结果CTR组手术时间长于UTR组,术中失血量少于UTR组,术后卧床时间短于UTR组,差异有统计学意义(P<0.05);两组术后引液量、住院时间比较差异无统计学意义。术后1、3、6、12个月,两组Harris髋关节功能评分高于术前,且术后12个月,两组Harris髋关节功能评分高于术后1、3、6个月,差异有统计学意义(P<0.05);其余不同时间点比较差异无统计学意义。术前及术后1、3、6、12个月,两组Harris髋关节功能评分比较差异无统计学意义。术后1、3、12个月,两组术后VAS评分均低于前一时间点,但术后6个月高于术后3个月,差异有统计学意义(P<0.05);UTR组术后6个月与术后1个月比较差异无统计学意义;术后1、12个月,两组VAS评分比较差异有统计学意义(P<0.05),但其余两组间比较差异无统计学意义。两组并发症发生率比较差异无统计学意义。UTR X线片显示:臼杯位置无移动、与骨界面间无透亮线;CTR X线片示:假体位置无改变,与骨界面间无透亮线。结论CTR和UTR对髋部终末期疾病的临床疗效相当,均可最大限度恢复髋关节功能,缓解髋关节疼痛,临床治疗中均需依患者骨质条件、身体状况综合考虑选择手术方式。Objective To investigate the clinical effect of cemented total hip replacement(CTR)and uncemented total hip replacement(UTR)on end-stage hip disease.Methods 129 patients with end-stage hip disease who underwent total hip arthroplasty in the Affiliated Shuyang Hospital of Xuzhou Medical University from January 2016 to December 2019 were selected as the research subjects,they were divided into the CTR group(n=66)and the UTR group(n=63)according to the different operation methods of joint replacement.The perioperative indexes,Harris score of hip joint,visual analogue scale(VAS)score and postoperative complications were compared between the two groups,and the X-ray films of typical cases were analyzed.Results The operation time in the CTR group was longer than that in the UTR group,the intraoperative blood loss was less than that in the UTR group,and the postoperative bed rest time was shorter than that in the UTR group,the differences were statistically significant(P<0.05);there was no significant difference in postoperative drainage volume and hospitalization time between the two groups. At 1, 3, 6 and 12 months afteroperation, the Harris hip function scores of the two groups were higher than those before operation, and at 12 months after operation, the Harris hipfunction scores of the two groups were higher than those at 1, 3 and 6 months after operation, the differences were statistically significant (P<0.05);and there was no significant difference between the other different time points. At 1, 3 and 12 months after operation, the VAS scores of the two groupswere lower than those at the previous time point, but the VAS score at 6 months after operation was higher than that at 3 months after operation, andthe difference was statistically significant (P<0.05);there was no significant difference between 6 months after operation and 1 month after operationin UTR group;at 1 and 12 months after operation, there was significant difference in VAS score between the two groups (P<0.05), but there was nosignificant differen

关 键 词：髋部疾病 骨水泥型假体全髋关节置换术 非骨水泥型假体全髋关节置换术 

分 类 号：R68[医药卫生—骨科学]