谁在影响着人工全髋关节置换后的中期疗效?

Which factors will affect the medium-term results of total hip arthroplasty?

背景:人工全髋关节置换后患者生活质量受多方面因素的影响,分析与置换后疗效相关的影响因素,以便采取针对性措施进行干预。目的:探讨影响初次人工全髋关节置换疗效的相关因素。方法:对352例初次行人工全髋关节置换患者的临床资料进行回顾性分析,根据髋关节Harris评分,设定影响评分的相关因素,通过卡方检验和Spearman等级相关分析评估各因素与初次人工全髋关节置换疗效之间的关系。并将文章结果与相关研究结果进行对比分析。结果与结论:初次人工全髋关节置换时患者年龄、体质量指数、髋关节旋转中心、股骨偏心距和置换后康复训练对中期疗效影响明显。置换前诊断、手术入路、患者性别、假体类型等对置换后效果影响不明显。关节外科医师只有对这些影响因素给予充分的重视,正确预防、科学处理影响关节功能恢复的各种因素,将是提高患者满意度的前提条件。

BACKGROUND： Life quality of patients after total hip arthroplasty will affected by various factors, and the factors that can affect the treatment effect after replacement should be analyzed in order to take the specific measures to intervene.OBJECTIVE： To investigate the relative factors that affect the treatment effect of initial total hip arthroplasty. METHODS： The clinical data of 352 patients treated with initial total hip arthroplasty were retrospectively analyzed, and the factors that affect the scoring were determined according to the Harris score. The relationship between various factors and the treatment of total hip arthroplasty was evaluated and analyzed through chi-square test and Spearman classification. Comparative analysis was performed to compare the results of relative articles and researches.RESULTS AND CONCLUSION： Age, body mass index, hip rotation center, femoral eccentricity and post-operative rehabilitation training of the patients with initial total hip arthroplasty could affect the medium-term results after total hip arthroplasty. While the influence of preoperative diagnosis, surgical approach, patient gender and type of prosthesis on the treatment effect of total hip arthroplasty was not obvious. Adequate attention to these factors, correct prevention and scientific treatment of a variety of factors that may affect the recovery of joint function, all these effort are the prerequisites for the surgeons to improve satisfaction of the patients.