全髋置换术对髋-脊综合征患者下腰痛症状影响的相关研究

The therapeutic effect of total hip arthroplasty on low back pain in patients with hip-spine syndrome

目的评价全髋置换术后髋-脊综合征患者下腰痛及脊柱功能变化。方法对48例患者随访检查并记录所有因严重骨关节炎行手术治疗的患者术前、术后3个月、术后2年的临床资料。使用Harris评分评价髋关节功能,Oswestry评分评价脊柱相关症状,VAS评分评价疼痛程度变化,并评价患者术后矢状位平片。结果全髋置换术后,患者脊柱和髋关节疼痛功能获得了显著改善。术后3个月随访时,平均下腰痛VAS评分从5.53降到3.75,Oswestry评分从37.22降到23.12,髋部VAS评分自7.13降到2.61,Harris评分也自44.54改善至80.1,术后2年随访时各指标均有相应程度的进一步改善,影像学矢状位角度也有改善。结论全髋置换术后患者下腰痛和脊柱功能获得改善,本研究进一步证实髋脊综合征的假设。

Objective To evaluate the improvement of low back pain and spinal function after total hip anthroplasty in patients with hip-spine syndrome.Methods 48 patients were enrolled in our research.Clinical data of the patients were recorded in preoperation,3 month and 2 years after operation,respectively.Harris score was used to describe hip function,and Oswestry score was used to evaluate spinal function.Pain serverity was recorded in VAS Score.Saggital X-ray plain film was also recorded.Results The pain of hip and spine was relieved after total hip arthroplasty.In 3 months＇ follow up,VAS of low back pain decreased from 5.53 to 3.75.Oswestry score improved from 37.22 to 23.12.VAS of hip pain decreased from 7.13 to 2.61.Harris score improved from 44.54 to 80.1.These index were further improved 2 years after the operation.There were beneficial changes of sagittal angel in the radiographic measurements.Conclusion Low back pain and spinal function were improved after total hip arthroplasty,so our research clinically validates hip-spine syndrome as hypothesized.