髋关节融合术治疗晚期髋关节结核的疗效评估

Efficacy evaluation of hip joint arthrodesis in treatment of advanced tuberculosis of the hip

目的应用克氏针与重建钢板行髋关节融合术对晚期全髋关节结核的可行性及临床疗效评估。方法选取2014年3月至2016年4月我院收治的30例髋关节结核患者,根据手术方式的不同将其分为克氏针组和重建钢板组,每组15例。通过观察2组患者手术时间、手术出血量(术中、术后)、融合时间、术后并发症进行髋关节融合术疗效的比较。结果 2组患者均达到骨性融合,与重建钢板组比较,克氏针组患者的术中出血量明显减少,手术时间明显缩短,融合时间明显延长,差异有统计学意义(P<0.05)。结论克氏针和重建钢板内固定术行髋关节融合均是治疗晚期全髋关节结核的有效方法,但应用克氏针内固定术行髋关节融合的临床疗效明显优于重建钢板内固定术。

Objective To investigate the feasibility and clinical effect of hip joint arthrodesis with the application of Kirschner wire and reconstruction plate in the treatment of advanced tuberculosis in total hip joint. Methods A total of 30 patients with advanced tuberculosis of the hip in our hospital from March 2014 to April 2016 were divided as Kirschner wire group and reconstruction plate according to different surgical methods, with 15 cases in each group. The operation time, bleeding volume during operation （intraoperative and postoperative）, fusion time, postoperative complications of two groups were observed and compared. Results Patients of two groups reached bony fusion. Compared with reconstruction plate group ,Kirschner wire group had less blood loss, shorter operative time ,longer fusion time, the differences were statistically significant （P 〈 0.05）. Conclusion Both Kirschner wire fixation and reconstruction plate arthrodesis are effective for patients with advanced tuber- culosis of total hip joint,but the clinical efficacy of Kirschner wire fixation in hip arthrodesis was significantly better than the reconstruction plate.