摘要
目的:对解剖型股骨假体置换治疗重度髋关节发育不良的治疗效果进行探讨。方法:考虑研究需求,纳入重度髋关节发育不良患者120例参与此次研究,时间选取范围为2015年1月至2018年1月,患者均予以解剖型股骨假体置换治疗,观察患者的治疗过程,分析患者的预后情况。结果:患者均顺利完成手术,手术平均时间为(77.41±1.45) min,平均住院时间为(12.11±0.22) d,患者术后均Ⅰ期愈合,有4例患者术后出现静脉血栓,经相应处理后消失。随访显示有14例患者早期步态呈跛行,1年内消失。末次随访显示,与术前对比,术后患者的VAS分值较低,Harris分值较高,健患侧肢体长度相差长度缩短,数据对比在差异上存在统计学意义(P<0.05)。结论:对重度髋关节发育不良患者实施解剖型股骨假体置换,能够改善患者的病情症状,恢复患者的关节功能,疗效显著。
Objective: To evaluate the clinical effect of anatomical femoral prosthesis replacement in the treatment of severe hip dysplasia. Methods: A total of 120 patients with severe hip dysplasia were enrolled in the study. All patients were treated with anatomical femoral prosthesis replacement from January 2015 to January 2018. The treatment process was observed and the prognosis was analyzed. Results:All the patients successfully completed the operation. The average operation time was( 77.41 ±1.45) minutes,and the average hospitalization time was( 12.11 ± 0.22) days. All the patients healed in stage I after operation,with four patients developed venous thrombosis and disappeared after corresponding treatment. Follow-up showed that 14 patients had a limp gait and disappeared within 1 years. The final follow-up showed that the VAS score was lower,the Harris score was higher,and the length difference between the healthy and the affected limbs was shortened,compared with the preoperative ones( P < 0.05). Conclusion: Anatomical femoral prosthesis replacement can improve the symptoms of patients with severe hip dysplasia and restore the joint function of patients with significant effect.
作者
杨飞
张兵
刘研科
YANG Fei;ZHANG Bing;LIU Yan-Ke(Leshan Second Hospital of traditional Chinese Medicine,Leshan 614000,China)
出处
《转化医学电子杂志》
2018年第11期29-31,共3页
E-Journal of Translational Medicine
关键词
解剖型股骨假体置换
重度髋关节发育不良
临床疗效
预后
anatomical femoral prosthesis replacement
severe hip dysplasia
clinical efficacy
prognosis
作者简介
杨飞。本科,副主任医师。研究方向:髋关节发育不良。Tel:0833-2134794 E-mail:yangfei129@126.com
