發(fā)布時(shí)間：2018-05-21 02:36

  本文選題：髖脫位 + 先天性　； 參考：《吉林大學(xué)》2012年碩士論文

【摘要】：目的:回顧性比較單純Pemberton髖臼成形術(shù)與聯(lián)合股骨粗隆下旋轉(zhuǎn)縮短截骨手術(shù)治療發(fā)育性髖關(guān)節(jié)脫位的臨床療效。 資料與方法:2004年1月至2009年1月,對(duì)采用單純Pemberton髖臼成形術(shù)或Pemberton髖臼成形術(shù)聯(lián)合股骨粗隆下旋轉(zhuǎn)縮短截骨手術(shù)治療且獲隨訪的141例發(fā)育性髖關(guān)節(jié)脫位患者的資料進(jìn)行回顧性分析,其中57例采用單純Pemberton髖臼成形術(shù)治療(單純髖臼成形手術(shù)組),男12例,女45例，年齡3~8歲；84例用Pemberton髖臼成形術(shù)聯(lián)合股骨粗隆下旋轉(zhuǎn)縮短截骨手術(shù)治療(聯(lián)合手術(shù)組)，男15例，女69例，年齡4~9歲。比較2組術(shù)后并發(fā)癥及術(shù)后2年進(jìn)行Severin放射學(xué)評(píng)價(jià)，并采用Mckay臨床評(píng)定標(biāo)準(zhǔn)評(píng)價(jià)2組療效。 結(jié)果:單純髖臼成形手術(shù)組患者隨訪30～52個(gè)月，平均38個(gè)月；聯(lián)合手術(shù)組患者隨訪32～51個(gè)月，平均37個(gè)月。單純髖臼成形手術(shù)組7例再脫位,4例股骨頭壞死，5例關(guān)節(jié)僵硬；聯(lián)合手術(shù)組無(wú)再脫位、股骨頭壞死、患肢縮短，2例關(guān)節(jié)僵硬。術(shù)后２年McKay臨床療效評(píng)定結(jié)果：?jiǎn)渭凅y臼成形手術(shù)組優(yōu)27髖，良18髖，可12髖；聯(lián)合手術(shù)組優(yōu)52髖，良25髖，可7髖。聯(lián)合手術(shù)組療效優(yōu)于單純髖臼成形手術(shù)組。Severin X線評(píng)定標(biāo)準(zhǔn)結(jié)果：?jiǎn)渭凅y臼成形手術(shù)組優(yōu)27髖，良15髖，可15髖；聯(lián)合手術(shù)組優(yōu)53髖，良22髖，可9髖。聯(lián)合手術(shù)組優(yōu)于單純髖臼成形手術(shù)組。 結(jié)論:與單純髖臼成形手術(shù)相比,聯(lián)合手術(shù)治療發(fā)育性髖關(guān)節(jié)脫位在術(shù)后減少嚴(yán)重并發(fā)癥及功能恢復(fù)方面有明顯優(yōu)勢(shì)。聯(lián)合手術(shù)組患者對(duì)術(shù)后綜合結(jié)果更為滿意。
[Abstract]:Objective: to retrospectively compare the clinical effect of Pemberton acetabular arthroplasty combined with subtrochanteric rotation shortening osteotomy in the treatment of developmental dislocation of hip. Information and methods: January 2004 to January 2009, The data of 141 patients with developmental dislocation of hip treated by Pemberton acetabular plasty or Pemberton acetabular arthroplasty combined with subtrochanteric rotation shortening osteotomy were retrospectively analyzed. 57 cases were treated with simple Pemberton acetabular plasty (simple acetabular arthroplasty group, 12 males, 45 females, aged 3 or 8 years, 84 patients were treated with Pemberton acetabular arthroplasty combined with subtrochanteric rotation shortening osteotomy) (combined operation group, 15 cases, male, 15 cases). 69 females, aged 4 to 9 years. The postoperative complications and Severin radiologic evaluation were compared between the two groups, and the clinical evaluation criteria of Mckay were used to evaluate the efficacy of the two groups. Results: the patients in the simple acetabular arthroplasty group were followed up for 30 ~ 52 months (mean 38 months) and the combined operation group for 32 ~ 51 months (mean 37 months). In the simple acetabular arthroplasty group, there were 7 cases of redislocation and 4 cases of osteonecrosis of femoral head and 5 cases of joint stiffness, while in the combined operation group, there was no redislocation, necrosis of the femoral head, and joint stiffness in 2 cases. 2 years after operation, the clinical efficacy of McKay was evaluated as follows: 27 hips were excellent, 18 hips were good, 12 hips were fair in simple acetabular arthroplasty group, 52 hips were excellent, 25 hips were good and 7 hips were fair in combined operation group. The curative effect of combined operation group was better than that of simple acetabular arthroplasty group. Results: 27 hips were excellent, 15 hips were good, 15 hips were fair in simple acetabular arthroplasty group, 53 hips were excellent, 22 hips were good and 9 hips were fair in combined operation group. The combined operation group was superior to the simple acetabular plasty group. Conclusion: compared with simple acetabular arthroplasty, combined operation for developmental dislocation of hip has obvious advantages in reducing serious complications and functional recovery. The patients in the combined operation group were more satisfied with the comprehensive results.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R726.8

【參考文獻(xiàn)】

相關(guān)期刊論文 前8條

1 胡志勇;徐勇強(qiáng);梁捷予;李康華;廖前德;;外展支具配合學(xué)步車(chē)治療發(fā)育性髖關(guān)節(jié)脫位的療效評(píng)價(jià)[J];中南大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2009年07期

2 胡懿惷;周天健;劉華;李康華;雷光華;;人工全髖關(guān)節(jié)置換治療發(fā)育性髖發(fā)育不良繼發(fā)晚期骨關(guān)節(jié)炎[J];中南大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2009年11期

3 倪慶賓;髖臼的正常發(fā)育及發(fā)育性髖關(guān)節(jié)脫位的病理形態(tài)學(xué)變化[J];臨床小兒外科雜志;2002年02期

4 馬強(qiáng);姜海;梁曉軍;苗武勝;周梅芬;;髖臼成形術(shù)并股骨近端旋轉(zhuǎn)截骨治療小兒發(fā)育性髖關(guān)節(jié)脫位[J];臨床小兒外科雜志;2006年02期

5 張志群;樓躍;唐凱;夏榕圻;范毓華;潘新華;黃祿基;林剛;;Pemberton關(guān)節(jié)囊周?chē)墓墙毓切g(shù)治療兒童發(fā)育性髖關(guān)節(jié)脫位[J];南京醫(yī)科大學(xué)學(xué)報(bào)(自然科學(xué)版);2006年11期

6 宋亞梅;;發(fā)育性髖關(guān)節(jié)脫位的研究[J];中國(guó)傷殘醫(yī)學(xué);2010年06期

7 吳鐵男;郭宏鈺;張?jiān)骑w;;Pemberton髖臼成形術(shù)治療發(fā)育性髖關(guān)節(jié)脫位[J];中國(guó)骨傷;2008年09期

8 沈品泉;張菁;陳s，

本文編號(hào)：1917371