髋关节置换术于股骨头坏死中的临床应用

Clinical application of hip replacement in femoral head necrosis

目的髋关节置换术于股骨头坏死中的临床疗效。方法选取我院在2017年2月至2018年2月收治的90例股骨头坏死患者进行研究,按治疗方法不同分为对照组(n=45)和研究组(n=45),其中对照组患者采用传统股骨头置换术治疗,研究组患者采用髋关节置换术治疗,观察对比两组患者髋关节Harris评分以及对运动功能的影响。结果治疗前研究组患者与对照组在髋关节Harris评分无统计学差异(P>0.05),治疗后研究组患者髋关节Harris评分较对照组,有统计学意义[(82.35±13.41) VS (72.02±13.54),(P<0.05)];治疗前两组患者运动功能无统计学差异(P>0.05),治疗后研究组患者运动功能较对照组,有统计学意义[(86.28±12.55) VS (72.13±12.81),P<0.05]。结论根据本文研究可知,针对股骨头坏死患者采用髋关节置换术可以显著改善患者病情,提高运动功能和髋关节Harris评分,缩短患者康复时间,值得在临床上进一步采用和推广。

Objective Clinical effect of hip replacement in femoral head necrosis.Methods 90 patients with femoral head necrosis admitted to our hospital from February 2017 to February 2018 were selected and divided into control group(n=45)and study group(n=45)according to different treatment methods.The patients were treated with conventional femoral head replacement.The patients in the study group were treated with hip arthroplasty.The hip scores of the hips and the effects on motor function were compared between the two groups.Results There was no significant difference in hip Harris score between the study group and the control group before treatment(P>0.05).After treatment,the hip score of the study group was statistically significant compared with the control group[(82.35±13.41)VS(72.02±13.54),(P<0.05)];There was no significant difference in motor function between the two groups before treatment(P>0.05).After treatment,the motor function of the study group was statistically significant compared with the control group[(86.28±12.55)VS(72.13±12.81),P<0.05].Conclusion Hip joint replacement for patients with femoral head necrosis can significantly improve the patient′s condition,improve motor function and hip Harris score,and shorten the recovery time of patients,which is worth further promotion.