本文選題：脊柱炎 + 強直性��； 參考：《吉林大學》2015年碩士論文

【摘要】：目的： 對吉林大學第二醫(yī)院骨科醫(yī)院在2013年6月至2014年6月期間對強直性脊柱炎患者行非骨水泥型人工全髖關節(jié)置換術16例27髖的資料進行短期臨床隨訪及分析，評價強直性脊柱炎行非骨水泥型人工全髖關節(jié)置換術后的短期療效。 資料與方法： 資料：本組病例收集吉林大學第二醫(yī)院骨科醫(yī)院在2013年6月至2014年6月期間對強直性脊柱炎患者行非骨水泥型人工全髖關節(jié)置換術16例27髖。其中男14例24髖，女2例3髖，年齡22-62歲，平均38.4歲，右髖3例，左髖2例，雙髖11例。強直性脊柱炎病史6-46年，平均17.5年。髖關節(jié)受累病史3-46年，平均14.8年。所有手術均為全髖關節(jié)置換術，其中行雙側同期置換8例16髖，一側翻修、另一側置換2例4髖，，右髖置換3例，左髖置換2例，兩側非同期置換1例2髖。采用假體類型：所有患者均采用非骨水泥髖和假體功能位設置。 方法：分別于術前及術后3個月、半年和1年隨訪過程中使用Harris評分、VAS疼痛評分、髖關節(jié)屈伸活動度對患者髖關節(jié)功能評分，并通過術后髖關節(jié)正位片測量假體外展角和前傾角來確定假體安裝位置，通過SPSS系統(tǒng)對比術前及術后隨訪時的髖關節(jié)屈伸活動度、VAS疼痛評分、Harris評分，評價強直性脊柱炎行非骨水泥型人工全髖關節(jié)置換的短期療效。 結果： 本組患者隨訪時間最短為12個月，最長為24個月，平均15.5個月。術前髖關節(jié)屈曲平均47.22±40.26，術后3個月平均86.74±22.19，術后半年平均92.59±19.05，術后1年隨訪平均103.07±19.35。術前VAS疼痛評分平均3.70±3.09，術后3個月平均0.74±0.89，術后半年平均0.37±0.67，術后1年隨訪平均0.33±0.54。術前Harris評分平均42.51±15.47，術后3個月平均82.59±9.84，術后半年平均88.11±9.84，術后1年隨訪平均91.37±9.19。均較術前有所提高。假體外展角平均40.06±10.1，前傾角平均17.0±6.2。根據(jù)術前及術后3個月、半年、1年隨訪評分結果分析具有統(tǒng)計學意義（具體見柱狀圖表1-3）。根據(jù)Harris評分表，評分結果為優(yōu)（90-100）14髖，良（89-80）11髖，可（79-70）1髖，差（＜70）1髖。優(yōu)良率92.6%。 結論： 非骨水泥型THA是治療AS髖關節(jié)疾病一種非常有效地方法。它能夠緩解患者髖關節(jié)疼痛，改善髖關節(jié)功能，提高患者的生活質(zhì)量。 對于AS伴有髖關節(jié)骨性強直或纖維性強直患者，股骨頸兩階段截骨法及假體的功能位設置對于提高手術的安全性和防止關節(jié)脫位十分重要。
[Abstract]:Objective:
The short-term clinical follow-up and analysis of 16 cases of 27 hip arthroplasty with non bone cement artificial total hip replacement for patients with ankylosing spondylitis in the Department of orthopedics, Second Hospital of Jilin University from June 2013 to June 2014, were followed up and analyzed to evaluate the short-term effect of ankylosing spondylitis after non cement-based total hip replacement.
Information and methods:
Data: this group of cases collected 16 cases of 27 hip arthroplasty for ankylosing spondylitis in the Department of orthopedics, Second Hospital of Jilin University from June 2013 to June 2014. There were 14 cases of male 14 cases, 2 cases 3 hips, 22-62 years old, 38.4 years old, 3 cases of right hip, 2 cases of left hip, double hip 11, history of ankylosing spondylitis. 6-46 years, an average of 17.5 years. The history of hip joint involvement was 3-46 years, averaging 14.8 years. All the operations were total hip arthroplasty, including 8 cases of bilateral replacement, 16 hip replacement, unilateral replacement, replacement of 2 and 4 hips on the other side, 3 with right hip replacement, 2 left hip replacement, and 1 2 hips on bilateral non synchronous replacement. All patients adopted non bone cement. Functional position of hip and prosthesis.
Methods: Harris score, VAS pain score, hip flexion and extension activity were used to score the hip joint function in 3 months, six months and 1 years, respectively, and the prosthesis installation position was determined by measuring the prosthesis abduction angle and pretilt angle after the operation of hip joint, and the SPSS system was used to compare the preoperative and postoperative follow-up. The hip flexion extension activity, VAS pain score and Harris score were used to evaluate the short-term efficacy of cementless total hip arthroplasty for ankylosing spondylitis.
Result錛

本文編號：1806264