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人工髋关节置换术后继续药物治疗对强直性脊柱炎患者髋关节功能的影响 被引量:3

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摘要 目的探讨人工髋关节置换术(THA)后进行药物治疗对强直性脊柱炎患者术后髋关节功能的影响。方法选择行THA手术患者,筛选出处于活动期的76例(124髋)强直性脊柱炎患者。根据术后是否进行药物治疗分为治疗组35例(53髋)、对照组41例(71髋)。采用Harris评分、总被动活动度、视觉疼痛模拟评分(VAS)和Bath评分评价临床疗效。采用动态血沉仪法检测红细胞沉降率(ESR),乳胶增强透射免疫比浊法检测CRP。术后随访时采用X线片评价各组假体松动及发生异位骨化的情况。结果随访的平均时间为49个月(25~97个月)。与治疗前比较,两组术后Harris评分提高,VAS、Bath评分、CRP、ESR降低(P均<0.05)。术后治疗组的Harris评分、VAS、CRP、ESR与对照组比较均有统计学差异(P均<0.05)。X线片示,4髋于髋臼侧Ⅰ、Ⅱ区出现宽度<2mm的透亮线;21髋发生异位骨化,其中治疗组3例,对照组18例,治疗组发生异位骨化的风险小于对照组(P均<0.05)。结论 THA术后继续使用药物治疗可以进一步改善髋关节功能,但活动度变化不明显。
出处 《山东医药》 CAS 北大核心 2015年第25期39-41,共3页 Shandong Medical Journal
基金 国家高技术研究发展计划(863计划)(SS2015AA032103)
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参考文献12

  • 1Bisla R S,Ranawat C S,Inglis A E.Total hip replacement in patients with ankylosing spondylitis with involvement of the hip. The Journal of bone and joint surgery. American volume . 1976
  • 2Walker LG,Sledge CB.Total hip arthroplasty in ankylosing spondylitis. Clinical Orthopaedics and Related Research . 1991
  • 3Harris WH.Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. Journal of Bone and Joint Surgery (American Volume) . 1969
  • 4Williams E,Taylor A R,Arden G P,Edwards D H.Arthroplasty of the hip in ankylosing spondylitis. The Journal of bone and joint surgery. British volume . 1977
  • 5J Sieper,T Klopsch,M Richter,A Kapelle,M Rudwaleit,S Schwank,E Regourd,M May.Comparison of two different dosages of celecoxib with diclofenac for the treatment of active ankylosing spondylitis: results of a 12-week randomised, double-blind, controlled study. Annals of the Rheumatic Diseases . 2008
  • 6Haibel H,Rudwaleit M,Braun J,Sieper J.Six months open label trial of leflunomide in active ankylosing spondylitis. Annals of the Rheumatic Diseases . 2004
  • 7Delee JG,Charnley J.Radiological demarcation of cemented sockets in total hip replacement. Clinical Orthopaedics and Related Research . 1976
  • 8Gruen TA,McNeice GM,Amstutz HC."Modes of failure" of cemented stem-type femoral components: a radiographic analysis of loosening. Clinical Orthopaedics . 1979
  • 9杨玉辉,张远鹰,王金成,高忠礼,刘强,洪森.强直性脊柱炎双侧髋膝关节骨性强直的功能重建[J].中国矫形外科杂志,2008,16(1):23-26. 被引量:18
  • 10强直性脊柱炎诊断及治疗指南[J].中华风湿病学杂志,2010,14(8):557-559. 被引量:874

二级参考文献15

  • 1廉永云,裴福兴,杨静,沈彬,周宗科.强直性脊柱炎的人工全髋关节置换术(附18例/31髋中期随访分析)[J].中国矫形外科杂志,2004,12(21):1623-1626. 被引量:27
  • 2崔旭,张伯勋,李静东.人工全髋关节置换术治疗56例强直性脊柱炎的临床研究[J].中国矫形外科杂志,2006,14(9):666-668. 被引量:26
  • 3卢世璧.坎贝尔骨科手术学[M](第9版)[M].济南:山东科学技术出版社,2001.1054-5.
  • 4Shih LY, Chen TH, Lo WH, et al. Total hip arthroplasty in patients with ankylosing spondylitis: longterm followup [J]. J Rheumatol, 1995,22(9) :1704-1709.
  • 5Lehtimaki MY, Lehto MU, Kautiainen H, et al. Chamley total hip arthroplasty in ankylosing spondylitis:survivorship analysis of 76 patients followed for 8 ~ 28 years [J]. Acta Orthop Scand, 2001,72(3):233-236.
  • 6Sweeney S, Gupta R ,Taylor G, et al. Total hip arthroplasty in ankylosing spondylitis : outcome in 340 patients [J]. J Rheumatol, 2001,8(8) :1862-1866.
  • 7Joshi AB,Markovic L,Hardinge K,et al. Total hip arthroplasty in ankylosing spondylitis:an analysis of 181 hips[J]. J Arthroplasty,2002,17 (4) :427-433.
  • 8Joshi AB, Porter ML, Trail LA, et al. Long-term results of Charnley low-fricton arthroplasty in young patiants [J]. J Bone and Joint Surg( Br), 1993,75(4):616-623.
  • 9Tang WM ,Chiu KY. Primary total hip arthroplasty in patients with ankylosing spondylitis[J]. J Arthroplasty,2000,15(1):52-58.
  • 10Kubiak EN, Moskovich R, Errico TJ, et al. Orthopaedic management of ankylosing spondylitis[J]. J Am Acad Orthop Surg, 2005, 13 (4) :267 -278.

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