全髋关节置换治疗强直性脊柱炎的围术期处理及结果

Perioperative management and outcome of total hip arthroplasty for ankylosing spondylitis

强直性脊柱炎是一种原因未明的慢性脊柱关节病。对于髋关节病变导致的药物无法缓解的疼痛和功能障碍,全髋关节置换术是有着良好结果的手术治疗方式,患者的生存质量得到了极大的提升。但对于外科医生来说,在对强直性脊柱炎累及髋关节的病人进行全髋关节置换术时,仍然存在许多问题值得关注,比如:年轻病人的手术适应证、术前准备与普通初次置换的差异、全髋关节置换治疗强直性脊柱炎累及髋关节的临床结果以及术后并发症的发生与预防。本文将对现阶段以上几个方面的临床研究进展进行阐述。

Ankylosing spondylitis is a chronic spondyloarthropathy of unknown cause.Total hip arthroplasty is a surgical treatment with good results for pain and functional disability that can not be relieved by drugs caused by ankylosing spondylitis with hip involvement.The quality of life of the patients undergoing hip replacement has been greatly improved.However,there are still many problems worthy of attention for surgeons when performing total hip arthroplasty for patients with ankylosing spondylitis involving the hip,such as the surgical indications for young patients,preoperative preparation different from primary replacement,outcomes of total hip replacement for ankylosing spondylitis with hip involvement,postoperative complications and prevention.This article explained the progress of clinical research in the above aspects.