骨水泥聚乙烯内衬技术在髋关节翻修术中的应用效果  

Application effect of bone cement polyethylene lining technology in revision total hip arthroplasty

作　　者：陈会斌 徐华 易朝辉 CHEN Huibin;XU Hua;YI Zhaohui(No.1 Orthopedics Department,Xunyang People's Hospital,Ankang 725700;Joint Surgery Department,the First Hospital of Hanbin District,Ankang 725000;Orthopedics Department,the Hospital ofZhenping County,Ankang 725699,China)

机构地区：[1]陕西省旬阳市人民医院骨一科,陕西安康725700 [2]陕西省汉滨区第一医院关节外科,陕西安康725000 [3]镇坪县医院骨科,陕西安康725699

出　　处：《临床医学研究与实践》2024年第29期79-82,共4页Clinical Research and Practice

摘　　要：目的分析骨水泥聚乙烯内衬技术在髋关节翻修术中的应用效果。方法回顾性分析2018年1月至2021年1月行髋关节翻修术的72例患者的临床资料,根据手术方法的差异将其分为对照组(n=32)和观察组(n=40)。对照组采用单纯更换聚乙烯内衬,观察组采用骨水泥聚乙烯内衬技术。比较两组的临床效果。结果术后1周以及术后1、3、6、12个月和末次随访,两组的Harris评分均高于术前,视觉模拟量表(VAS)评分均低于术前(P<0.05)。末次随访,观察组的髋臼杯外展角小于对照组(P<0.05)。结论骨水泥聚乙烯技术治疗髋关节翻修能够明显改善患者的髋关节功能,减轻疼痛程度,其效果与单纯更换聚乙烯内衬的效果相当,且该方法的髋臼杯外展变化较小,具有较高的稳定性和安全性。Objective To analyze the application effect of bone cement polyethylene lining technology in revision total hip arthroplasty.Methods The clinical data of 72 patients who underwent revision total hip arthroplasty from January 2018 to January 2021 were retrospectively analyzed.According to the difference of surgical methods,the patients were divided into control group(n=32)and observation group(n=40).The control group was treated with simple replacement of polyethylene lining,and the observation group was treated with bone cement polyethylene lining technology.The clinical effects of the two groups were compared.Results At 1 week after operation,1,3,6,12 months after operation and at the last follow-up,the Harris scores of the two groups were higher than those before operation,and the Visual Analogue Scale(VAS)scores were lower than those before operation(P<0.05).At the last follow-up,the acetabular cup abduction angle of the observation group was smaller than that of the control group(P<0.05).Conclusion Bone cement polyethylene lining technology in the treatment of revision total hip arthroplasty can significantly improve the patients'hip joint function and reduce the degree of pain.The effect is equivalent to the effect of simple replacement of polyethylene lining,and the acetabular cup abduction change is small,with high stability and safety.

关 键 词：骨水泥 聚乙烯内衬 髋关节翻修术 

分 类 号：R687.4[医药卫生—骨科学]