摘要
目的分析人工全髋关节置换术治疗成人髋关节骨性关节炎的临床疗效,并探讨人工全髋关节置换术的方法及其安全性。方法选取2007年4月至2011年6月高要市人民医院确诊为成人髋关节骨性关节炎行人工全髋关节置换术治疗的84例患者为研究对象,对其行人工全髋关节置换术后的临床效果进行中期随访,采用Hariss评分及X线对临床结果进行评估。结果随访84例患者,采用Hariss进行髋关节评分,术后评分较术前评分显著提高[(90.4±4.4)分比(51.4±6.5)分,P<0.05]。综和评定结果示,优57例78髋,良24例27髋,中3例3髋,优良率为96.4%。结论成人髋关节骨性关节炎患者行人工全髋关节置换术治疗,临床疗效好,安全性高,但是熟练的手术技术与完善的术后康复训练是治疗成功的关键。
Objective To analyze on the clinical efficacy of artificial total hip arthroplasty in treating a-dult hip osteoarthritis and to explore the method and safety of total hip arthroplasty ,in order to provide refer-ence for clinical.Methods A total of 84 patients diagnosed as adult hip osteoarthritis and underwent artifi-cial total hip arthroplasty in Gaoyao People′s Hospital from Apr.2007 to Jun.2011 were selected as the re-search objects,the clinical effect of artificial total hip arthroplasty was followed up in middle term ,and evalu-ated by using Hariss score and X-ray.Results The results of Hariss scaling showed that the postoperative score（90.4 ±4.4） was significantly higher than the preoperative score（51.4 ±6.5）,the difference was statistically significant（P＆lt;0.05） .Comprehensive evaluation results showed that 78 hips of 57 cases ranked excellent,27 hips of 24 cases ranked good,and 3 hips of 3 cases ranked medium,the rate of excellence and good was up to 96.4%.Conclusion Artificial total hip arthroplasty is safe and with good clinical efficacy in treating dult hip osteoarthritis,while skilled surgical techniques and sophisticated postoperative rehabilitation training are the keys to successful treatment.
出处
《医学综述》
2015年第5期903-904,共2页
Medical Recapitulate
