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強(qiáng)直性脊椎炎髖關(guān)節(jié)晚期病變行全髖關(guān)節(jié)置換術(shù)的效果

發(fā)布時(shí)間:2018-06-23 來(lái)源: 歷史回眸 點(diǎn)擊:


  【摘要】 目的:觀察強(qiáng)直性脊椎炎髖關(guān)節(jié)晚期病變行全髖關(guān)節(jié)置換術(shù)的臨床治療效果。方法:選取本院外科2015年1月-2017年6月收治的55例強(qiáng)直性脊椎炎髖關(guān)節(jié)晚期病變患者作為研究對(duì)象。所有患者均采用全髖關(guān)節(jié)置換術(shù)治療,比較患者手術(shù)治療前后髖關(guān)節(jié)功能評(píng)分評(píng)估臨床治療效果,患者治療前后疼痛變化情況及有無(wú)并發(fā)癥出現(xiàn)。結(jié)果:55例患者治愈33例,顯效16例,有效5例,無(wú)效1例,治療總有效率為98.18%(54/55)。治療后患者的Harris單項(xiàng)評(píng)分及總分顯著高于治療前,差異均有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論:對(duì)強(qiáng)直性脊椎炎髖關(guān)節(jié)晚期病變患者臨床實(shí)施全髖關(guān)節(jié)置換術(shù)治療,術(shù)后髖關(guān)節(jié)功能得到顯著改善,減輕患者的疼痛,無(wú)并發(fā)癥發(fā)生,臨床應(yīng)用前景廣泛。
  【關(guān)鍵詞】 強(qiáng)直性脊椎炎; 髖關(guān)節(jié)晚期病變; 全髖關(guān)節(jié)置換術(shù)
  Ankylosing Spondylitis Hip Advanced Lesions Undergoing Total Hip Replacement Effect/LIANG Hai,LIU Sheng.//Medical Innovation of China,2018,15(07):053-055
  【Abstract】 Objective:To observe the clinical effect of the treatment of ankylosing spondylitis hip advanced lesions underwent total hip replacement.Method:55 cases of ankylosing spondylitis with advanced hip joint lesions in our hospital were selected as the objects from January 2015 to June 2017.All patients were treated with total hip replacement surgery treatment,the clinical treatment effect before and after the treatment of hip joint function score,pain changes before and after treatment in patients with and without complications were compared.Result:55 cases were cured in 33 cases,markedly effective in 16 cases,effective in 5 cases,1 case,the total effective rate was 98.18% (54/55).The Harris single score and total score of the patients after treatment were significantly higher than those before treatment(P<0.05).The pain was significantly improved after treatment(P<0.05).Conclusion:The implementation of total hip replacement in the treatment of ankylosing spondylitis hip joint lesions in patients with clinical stage,significantly improve the hip joint function after operation,reduce the pain of patients,no complications,wide clinical application prospects.
  【Key words】 Ankylosing spondylitis; Hip joint late lesion; Total hip replacement
  First-author’s address:Tangxia Hospital of Dongguan,Dongguan 523721,China
  doi:10.3969/j.issn.1674-4985.2018.07.015
  當(dāng)今社會(huì)人民群眾的日常生活習(xí)慣及工作強(qiáng)度的變化,強(qiáng)直性脊柱炎導(dǎo)致髖關(guān)節(jié)病患者日益增多,嚴(yán)重影響患者的日常生活質(zhì)量[1]。臨床治療強(qiáng)直性脊柱炎髖關(guān)節(jié)病的首選方法為手術(shù)治療,全髖關(guān)節(jié)置換術(shù)通過(guò)對(duì)患者受累髖關(guān)節(jié)采用人工假體置換的方法來(lái)達(dá)到修復(fù)患者其正常關(guān)節(jié)活動(dòng)能力的目的[1]。本院從2015年1月開(kāi)始強(qiáng)直性脊椎炎髖關(guān)節(jié)晚期病變行全髖關(guān)節(jié)置換術(shù)的臨床治療效果,現(xiàn)報(bào)道如下。
  1 資料與方法
  1.1 一般資料 選取本院外科2015年1月-2017年6月收治的55例強(qiáng)直性脊椎炎髖關(guān)節(jié)晚期病變患者作為研究對(duì)象。納入標(biāo)準(zhǔn):所有患者均符合強(qiáng)直性脊椎炎髖關(guān)節(jié)晚期病變的臨床診斷標(biāo)準(zhǔn)[2]。排除標(biāo)準(zhǔn):嚴(yán)重腎肝功能疾病者、惡性腫瘤患者及其他影響本次研究結(jié)果的病例。患者男33例,女22例;年齡16~50歲,平均(42.18±8.60)歲;病變位置:雙側(cè)髖關(guān)節(jié)33例,單側(cè)髖關(guān)節(jié)22例;Harris評(píng)分30~52分,平均(41.51±10.28)分;經(jīng)X線檢測(cè),髖關(guān)節(jié)間隙消失,髖臼骨質(zhì)周邊骨質(zhì)疏松,Bath強(qiáng)直性脊椎炎髖關(guān)節(jié)異常X線分級(jí):Ⅲ級(jí)16例,Ⅳ級(jí)39例。上述患者臨床表現(xiàn)為髖關(guān)節(jié)活動(dòng)受限,疼痛感;颊呷虢M研究前簽署知情同意書(shū),本次研究?jī)?nèi)容報(bào)院倫理委員批準(zhǔn),入組病例符合實(shí)驗(yàn)要求。

相關(guān)熱詞搜索:關(guān)節(jié) 強(qiáng)直性 病變 晚期 效果

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