全髋关节置换术治疗晚期股骨头坏死的应用效果分析

Analysis of the Application Effect in Total Hip Arthroplasty for Advanced Osteonecrosis of Femoral Head

目的:探讨全髋关节置换术(total hip replacement)治疗晚期股骨头坏死患者的临床应用效果。方法:将2013年1月~2015年12月收治的92例股骨头坏死患者作为研究对象,所有患者均应用全髋关节置换术进行治疗。结果:所有患者均顺利进行手术治疗,92例患者手术均顺利完成,术中出血量为200~500ml,平均出血量为(330±100)ml,所有患者都进行了随访,时间为12个月,未有失访病历。所有患者均未出现早期脱位、下肢深静脉血栓、切口感染等手术并发症。手术后对患者进行Harris评价,结果表明术后Harris评分为(89.4±7.5)分,较术前(48.9±8.6)分明显改善,比较差异有统计学意义(P<0.05)。结论:全髋关节置换术治疗晚期股骨头坏死患者的治疗效果明显,可明显改善患者的生活自理情况,恢复功能。

Objective： To investigate the clinical effect of total hip arthroplasty in the treatment of patients with advanced osteonecrosis of the femoral head. Methods：92 patients with osteonecrosis of the femoral head were treated in 2015. All patients were treated with total hip arthroplasty. Results： All patients were successfully treated with surgery, cessfully completed surgery, intraoperative bleeding was （220 - 500） ml, the average was （330 ± 100） ml, all 12 months,has not lost records. All patients had no complications such as early dislocation,deep venous incision infection and so on. After surgery,the patients were evaluated by Harris,and the resultswas （89. 4 ±7. 5）,which was significantly improved compared with the preoperative score of （48. 9 ± 8. 6）,and the difference was statistically significant （P 〈 0. 05）. Conclusion： Total hip arthroplasty in the treatment of patients with advanced osteonecrosis of the femoral head is effective, can significantly improve the patient＇s self-care, recovery function.