今天是:          
秦 为.股内收肌切断术+髋关节置换术治疗股骨头坏死患者的近期疗效[J].中国现代医生,2021,59(6):96-99
股内收肌切断术+髋关节置换术治疗股骨头坏死患者的近期疗效
Short-term curative effect of hip adductor amputation combined with hip arthroplasty in the treatment of osteonecrosis of the femoral head
  
DOI:
中文关键词:  股骨头坏死  股内收肌切断术  髋关节置换术  近期疗效
英文关键词:Femoral head necrosis  Hip adductor amputation  Hip arthroplasty  Short-term curative effect
基金项目:
作者单位
秦 为 湖北省潜江市中心医院骨二科湖北潜江 433100 
摘要点击次数: 1854
全文下载次数: 4687
中文摘要:
      目的 探讨股内收肌切断术(HAA)+髋关节置换术(HA)治疗晚期股骨头坏死(ONFH)患者的近期疗效。方法 回顾性分析2013 年1 月至2018 年1 月于我院接受诊治的晚期ONFH 患者48 例,按照手术方式不同,分为观察组(n=26)与对照组(n=22),观察组行HAA+HA,对照组行HA,比较两组一般情况、术前及术后1 周髋关节Harris 评分、髋关节外展活动度、股内收肌挛缩及手术并发症发生情况。结果 两组手术时间、术中出血量、住院费用比较,差异无统计学意义(P>0.05)。观察组住院时间为(7.45±2.12)d,低于对照组的(9.14±2.36)d,差异有统计学意义(P<0.05);术后1 周,观察组髋关节Harris 评分疼痛[(38.12±6.54)分]、功能[(39.15±7.74)分]、活动范围[(4.57±0.62)分]、畸形评分[(3.77±0.42)分]及总分[(85.57±9.18)分]均高于对照组的(33.51±5.72)分、(32.48±6.96)分、(4.12±0.59)分、(3.12±0.56)分、(74.46±8.95)分,差异均有统计学意义(P<0.05);观察组术后髋关节外展活动度为(44.82±5.17)°,高于对照组的(36.65±5.82)°;术后股内肌挛缩评分为(6.76±1.75)分,低于对照组的(15.28±3.84)分,差异均有统计学意义(P<0.05);观察组、对照组术后并发症总发生率分别为15.38%、18.19%,差异无统计学意义(P>0.05)。结论 HAA 联合HA 术用于晚期ONFH 患者,可以改善患者髋关节功能,提高髋关节外展活动度,降低股内肌挛缩程度,且不增加并发症发生率。
英文摘要:
      Objective To explore the short-term curative effect of hip adductor amputation (HAA) combined with hip arthroplasty(HA) in the treatment of advanced osteonecrosis of the femoral head(ONFH).Methods A total of 48 patients with advanced ONFH who were diagnosed and treated in our hospital from January 2013 to January 2018 were retrospectively analyzed.According to the different surgical methods,they were divided into the observation group(n=26)and the control group(n=22).The observation group received HAA+HA,and the control group received HA.The general hospitalization status,Harris score of the hip joint before and one week after the operation,hip abduction range,femoral adductor contracture,and surgical complications between the two groups were compared.Results There was no statistically significant difference in operation time,operative blood loss,and hospitalization expenditure between the two groups(P>0.05).The hospitalization time of the observation group was(7.45±2.12)d,which was lower than(9.14±2.36) d of the control group,and the difference was statistically significant(P<0.05).One week after surgery,the observation group′s hip joint Harris scores including pain(38.12±6.54) points,function was(39.15±7.74) points,range of motion was(4.57±0.62)points,deformity score was(3.77±0.42) and total score was(85.57±9.18) points points were higher than those([33.51±5.72]points,[32.48±6.96]points,[4.12±0.59]points,[3.12±0.56]points,and [74.46±8.95]points) of the control group,and the difference was statistically significant(P<0.05).The hip abduction range of the observation group was(44.82±5.17)°,higher than that of the control group(36.65±5.82)°.The intrathoracic muscle contracture score(6.76±1.75)points of the observation group was lower than that (15.28±3.84) points of the control group,and the difference was statis tically significant(P<0.05).The total incidence of postoperative complications in the observation group and the control group was 15.38% and 18.19%,respectively,with no significant difference(P>0.05).Conclusion HAA combined with HA surgery for patients with advanced ONFH can improve the hip joint function,increase hip abduction range,reduce the degree of intrafemoral muscle contracture,and does not increase the incidence of complications.
查看全文  查看/发表评论  下载PDF阅读器
关闭
    • 关键词 :
    • 中国医生
    • 中国现代医生
    • 中国临床医生
    • 中国医师
    • 主任医师
    • 中国医学
    • 中华医学
    • 中国医院
    • 中国医药
    • 中国医疗
    • 现代医生
    • 现代医学
    • 现代医药
    • 现代医院
    • 现代药物
    • 现代护理
    • 现代临床
    • 医学杂志
    • 药学杂志
    • 医药杂志
    • 医生杂志
    • 医师杂志
    • 医疗杂志
    • 医药期刊
    • 医学期刊
    • 医药卫生期刊
    • 医药论文
    • 医学论文
    • 科研论文
    • 职称论文
    function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=70159B0BE98655415443C5BBC374088C58FCF18A62707411BE65CEBF508F6D67E4CA957FACE754ADCCA6BFECF1767445354DCC0F98B00DB5A3C18B6B105E0DC39ECB8C431AAD6B4108BB48503BCD267E90C46551435E48F2B5F44538448AB3DEAD0BDF88BF1D7F86BC54147866EF8FD2458F61126436A4E169C8CBE4100009BA68EC1262303E06B299D4CEA751A37801&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=BB33F1C95224820A&jid=8EDAEC11C165015425CEEA15366CB0A7&yid=9475FABC7A03F4AB&aid=&vid=&iid=B31275AF3241DB2D&sid=6700D0D256586E73&eid=A4FA325EA800C820&fileno=2022050&flag=1&is_more=0">