人工全髋关节置换治疗成人髋关节发育不良并骨性关节炎的临床分析

目的:探讨人工全髋关节置换治疗成人髋关节发育不良并骨性关节炎的临床疗效。方法:对2009年7月至2012年7月入住我院的60例成人髋关节发育不良并骨性关节炎患者行人工全髋关节置换术治疗。分析治疗优良率、手术前后不同Crowe分型Harris评分、手术前后行走及疼痛情况、手术前后生活质量。结果:1根据Harris评分,本组治疗优良率91.67%(55/60);2术后各Crowe分型患者Harris评分均显著高于术前,差异均具有统计学意义(P<0.05);3本组术前自行行走及辅助行走例数分别为23及37例,术后分别为39例及21例;术前疼痛情况:无、轻、中及重度疼痛例数分别为1例、6例、22例及31例,术后分别为18例、28例、12及2例,手术前后行走情况及疼痛情况差异均具有统计学意义(P<0.05);4根据SF-36生活质量评价标准,术后生活质量评分为(142.16±10.32)分,显著高于术前(115.24±7.34)分,差异具有统计学意义(P<0.05)。结论:人工全髋关节置换治疗成人髋关节发育不良并骨性关节炎的临床疗效显著,术后患者髋关节功能及生活质量明显改善,应在临床上加以推广。

Clinical Analysis of Total Hip Replacement for Treatment of Adult Hip Dysplasia and Osteoarthritis

Objective:To investigate the clinical curative effect of artificial total hip joint replacement in the treatment of adult hip dysplasia with osteoarthritis.Methods:Between July 2009 and July 2012, 60 patients combined with adult hip dysplasia and osteoarthritis in our hospital underwent artificial total hip arthroplasty. Analyze the excellent and good rate, Harris score of different Crowe type, walking and the pain degree, quality of life before and after operation.Results:(1 ) According to Harris score, the excellent and good rate was 91.67% in the treatment group (55/60). (2) After operation, the Harris scores of patients in each Crowe typing were significantly higher than before operation, and the differences were statistically significant (P < 0.05); (3) Before operation, 23 patients could walk and 27 could mobilize with walking aids. After operation, 39 patients could walk and 21 still need walking aids. There were one case of no pain, 6 cases of mild degree pain, 22 cases of moderate pain and 31 cases of severe pain before operation. While after operation there were 18 cases of no pain, 28 cases of mild pain, 1 2 cases of moderate pain and only 2 cases of severe pain. The differences of walking and pain of were statistically significant (P < 0.05). (4) According to the evaluation of quality of life of the SF-36 standard, the postoperative quality of life score was (142.16 ± 1 0.32)%, significantly higher than the preoperative (1 15.24 ± 7.34)% ], and the difference was statistically significant (P < 0.05).Conclusion:The patients had their hip function and quality of life improved obviously after operation. The artificial total hip joint replacement had clinical curative effect in the treatment of adult hip dysplasia and osteoarthritis, so it should be popularized and applied in clinic.