摘要
目的:探讨用生物型人工全髋关节置换术治疗股骨头缺血性坏死的临床疗效。方法:抽选2010年1月至2015年1月期间成都市金堂县第一人民医院收治的185例股骨头缺血性坏死患者作为研究对象。为这185例患者均采用生物型全髋关节置换术进行治疗,并观察其治疗的效果。结果:在术后,这185例患者中有7例患者发生了切口红肿(经过处理后切口完全愈合),其余患者的切口均为一期愈合,有3例患者出现人工髋关节脱位(接受人工髋关节脱位翻修术后病情痊愈)。对这185例患者进行随访发现,其髋关节运动功能明显改善,生活质量明显提高。在术前,这185例患者的Harris评分平均为(65.0±1.5)分。在末次随访时,这185例患者的Harris评分平均为(90.2±1.9)分。与接受手术前相比,这185例患者在末次随访时其Harris评分更高,差异有统计学意义(P<0.05)。结论:用生物型人工全髋关节置换术治疗股骨头缺血性坏死的临床疗效显著。
Objective To study effect of biological total hip arthroplasty for ischemic necrosis of femoral head. Methods Select 185 cases of ischemie necrosis of femoral head treated in The First People＇ s Hospital of Jintang County from January 2010 to January. 2010 for research object. Treat 185 patients with biological total hip arthroplasty, then observe curative effect of these patients. Results After surgery, except 7 cases appeared wound red swelling（after curing the wound was healed）,other cases wounds were healed in stage I, there were 3 cases appeared artificial hip dislocation（it was healed after revision）.We followed up these cases after treatment, we found their hip joint function and life quality were obviously improved. Before treatment, average Harris score of 185 cases is （90.2 ＋ 1.9）, in the last follow-up, their average Harris score is （90.2 -＋ 1.9）.After treatment ,their average Harris score was higher than score of last follow-up （ P 〈 0.05 ） . Conclusion Effect of biological total hip arthroplasty for ischemic necrosis of femoral head is obviously.
