人工髋关节置换术的疗效分析

Therapeutic Effect Evaluation of Artificial Hip Replacement

目的:探讨人工髋关节置换的手术适应证与手术相关的问题。方法:对1998—2004期间有完整临床随访资料的、行人工髋关节置换术的132例进行总结分析。结果:随访1～5a,按照Harris评分标准,术前平均49分,术后平均85分;优96例,良28例,中6例,差2例,优良率93%。并发症:假体松动下沉2例,关节脱位1例,假体柄下端穿出股骨1例,感染3例,无下肢深静脉栓塞、坐骨神经损伤,亦无其他全身性严重并发症发生。结论:只要选择好手术适应证,术前准备充分,术中操作熟练,术后处理得当,人工髋关节置换可使患者获得良好的效果,减少并发症。

Objective To discuss the indications and other related issues of artificial hip replacement.Methods A retrospective analysis was conducted in 132 cases with artificial hip replacement with complete follow-up data treated between 1998 and 2004.Results The patients were followed up for 1 to 5 years.The average Harris score of these patients was 49 preoperatively and 85 postoperatively,and 96 of them had excellent,28 good,6 acceptable and 2 poor outcomes.Such complications as prothesis mobilization（2 cases）,joint dislocation（1 case）,prothesis pricking through the femor（1 case）and infection（3 cases）occued after the operation.Embolism in the deep veins of the lower limb,sciatic nerve injury or severe general complications were not observed.Conclusion Proper evaluation of the indications,careful preoperative preparation,proficient operative skills,and good postoperative treatment can ensure favorable outcome of artificial hip replacement with minimum tomplications.