人工全髋关节置换术治疗成人股骨头缺血性坏死的疗效观察

Therapeutic effect observation of total hip replacement treating avascular necrosis of the femora head in adults

目的使用人工全髋关节置换术进行成人股骨头缺血性坏死的治疗,并对其临床治疗效果进行分析研究。方法选取本院接受股骨头缺血性坏死的患者100例,均采用人工全髋关节置换术进行治疗,其中50例患者使用骨水泥型假体进行治疗,作为骨水泥型组;其余50例患者使用非骨水泥型假体进行治疗,作为非骨水泥型组。比较两组患者的临床治疗效果,并将比较结果使用统计学软件进行统计学处理。结果两组患者经过治疗后,病情均得到有效改善,且两组患者的临床治疗效果差异无统计学意义(P>0.05)。结论人工全髋关节置换术可对成人股骨头缺血性坏死进行有效的治疗,且骨水泥型假体及非骨水泥型假体的临床疗效相当。

Objective To evaluate and analyze the clinical effect of total hip replacement on treatment of avascular necrosis of the femora head of adults.Methods One hundred patients with avascular necrosis of the femora head treated by total hip replacement were selected in our hospital,50 cases of them were used cemented implants as cement group,and other 50 cases were applied to uncemented implants as uncemented group.The clinical therapeutic effect was measured and com pared between two groups and the results were processed statistic treatment by statistics software.Results Patients＇ conditions in both groups were improved after treatment,the clinical curatile effect had no statistical difference between the two groups（P 〈0.05）.Conclusion Total hip replacement is an effectiveness method to treat avascular necrosis of the femora head in adults.Cemented implants and uncemented ones are similar in their efficacy.