自体骨打压植骨在生物型人工髋关节初次置换术中的应用效果.docVIP

自体骨打压植骨在生物型人工髋关节初次置换术中的应用效果 　　[摘要] 目的 评价自体骨打压植骨术在生物型人工髋关节初次置换术中的应用效果，探讨其临床适用性。 方法 回顾性分析2007年1月～2014年1月于本院就诊采用生物型人工髋关节初次置换术联合自体骨打压植骨术治疗的62例患者，作为试验组，另选择同时期于我院就诊治疗的60例单纯采用生物型人工髋关节初次置换术患者，作为对照组。随访观察两组患者手术前后的髋关节Harris评分及VAS 评分，同时复查X线片以了解假体松动情况。 结果 两组患者手术前的Harris、VAS 评分比较，差异均无统计学意义（P0.05），治疗后，Harris评分升高，VAS评分降低，差异有统计学意义（P0.05），且试验组患者Harris及VAS 评分的改善情况显著优于对照组（P0.05）。随访试验组患者治疗后未出现假体松动，而对照组患者出现4例假体松动，发生率为6.7%，两组患者的假体松动发生率比较，差异有统计学意义（χ2=4.2734，P=0.0387）。 结论 自体骨打压植骨术在生物型人工髋关节初次置换术中的疗效显著，可以有效改善疼痛及髋关节功能，且假体松动发生率低，适合临床长期推广应用。 　　[关键词] 自体骨打压植骨术；生物型人工髋关节初次置换术；假体松动 　　[中图分类号] R687.4 [文献标识码] A [文章编号] 1674-4721（2016）03（a）-0092-04 　　[Abstract] Objective To evaluate the application effect of autologous bone impaction grafting operation in biological artificial hip initial replacement surgery and explore its clinical applicability. Methods From January 2007 to January 2014，62 patients visited our hospital and provided with biological artificial hip initial replacement surgerys combined with autologous bone impaction grafting for treatment were retrospectively analyzed，and they were selected as experimental group.60 patients treated only by simple biological artificial hip initial replacement surgery at the same period was classified into control group.Harris score and visual analogue scale （VAS） score of hip joint before and after operation of patients in two groups was observed after follow-up.Prosthetic loosening was understood by X-ray at the same time. Results There was no statistical difference of Harris and VAS score before operation between two groups （P0.05）.After operation，Harris score was increased，while VAS score was decreased with statistical significance （P0.05）.The improvement of Harris and VAS in experimental group was superior to that in control group respectively （P0.05）.After follow-up，there was no prosthetic loosening occurred in experimental group，while in control group，4 cases occurred，the incidence rate was 6.7%，and there was a statistical difference of incide