关节置换术对晚期创伤性关节炎患者的长期疗效观察  

Long-Term Effect of Joint Replacement in Patients with Advanced Traumatic Arthritis

作　　者：董涛[1] 姜付宁 DONG Tao;JIANG Funing(Department of Orthopaedics,Eighth People’s Hospital of Qingdao,Qingdao 266000,China)

机构地区：[1]山东省青岛市第八人民医院骨科,山东青岛266000

出　　处：《中国伤残医学》2024年第24期96-99,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:评估关节置换手术治疗晚期创伤性关节炎患者的长期效果。方法:回顾性分析2022年1月—2024年7月于青岛市第八人民医院骨科进行随访及治疗的138例晚期创伤性关节炎患者资料,所有患者均于2024年7月前完成了24个月的随访。根据治疗方法的不同将其分为研究组与对照组,各69例。研究组采用关节置换手术治疗,对照组采用非手术治疗。评估两组疼痛程度、关节功能、生活质量、并发症发生情况。结果:术后3、6、12、24个月,研究组疼痛视觉模拟法评分均低于对照组,差异均有统计学意义(P<0.05)。术后3、6、12、24个月,研究组Knee Society、Harris髋关节功能量表、生活质量简表评分均高于对照组,差异均有统计学意义(P<0.05)。两组并发症发生率分别为7.25%、5.79%,差异无统计学意义(P>0.05)。结论:关节置换手术在治疗创伤性关节炎患者中,可减轻其疼痛感,改善关节功能,提升生活质量,具有一定的安全性,且疗效长期稳定。Objective:To evaluate the long-term effects of joint replacement surgery in patients with advanced traumatic arthritis.Methods:Data of 138 patients with advanced traumatic arthritis who were followed up and treated in the Department of Orthopedics of the Eighth People's Hospital of Qingdao from January 2022 to July 2024 were retrospectively analyzed.All patients completed a 24-month follow-up before July 2024.According to the different treatment methods,they were divided into study group and control group,69 cases each.The study group received joint replacement surgery and the control group received non-surgical treatment.The degree of pain,joint function,quality of life,and complications were evaluated in both groups.Results:At 3,6,12 and 24 months after operation,the Visual Analogue Scale for Pain scores of the study group were lower than those of the control group,with statistical significance(P<0.05).At 3,6,12 and 24 months after surgery,Knee Society,Harris Hip Function Scale and the MOS Item Short Form Health Survey scores of the study group were higher than those of the control group,with statistical significance(P<0.05).The incidence of complications between the two groups was 7.25%and 5.79%,respectively,with no significant difference(P>0.05).Conclusion:Joint replacement surgery in the treatment of traumatic arthritis patients,can reduce the pain,improve the joint function,improve the quality of life,has a certain safety,and long-term stable efficacy.

关 键 词：创伤性关节炎 关节置换手术 长期疗效 

分 类 号：R687.4[医药卫生—骨科学]