Salter骨盆截骨及股骨内翻截骨治疗Perthes病的比较研究.pdfVIP

2 Salter 骨盆截骨和股骨内翻截骨治疗Perthes 病的比较研究 中文摘要 Salter 骨盆截骨和股骨内翻截骨治疗Perthes 病的 比较研究 中文摘要 目的:收集近年来本院治疗的儿童Perthes 病病例，比较 Salter 骨盆截骨及股骨内 翻截骨术治疗儿童Perthes 病的疗效。 方法: 2004~2012 年有 29 例 Perthes 病住院病例，分 2 组进行比较。A 组(Salter 骨盆截骨组)17 例; B 组(股骨内翻截骨组)12 例。根据临床结果及 X 线 Stulberg 标准 进行疗效评价。 结果:经 3~9 年随访，2 组的临床表现及功能上无明显差异；按 Stulberg 标准优 良率分别为:A 组65% B 组 58% ，差别无统计学意义；在X 线片表现上，包括患侧 股骨颈干角、关节转子间距等指标上，Salter 骨盆截骨组与健侧差异较小;两组髋臼 的覆盖无明显差异。 结论：Salter 骨盆截骨和股骨近端内翻截骨两种包容手术治疗 Perthes 病的临床 疗效之间没有明显差异，股骨头的形态以及髋关节协调性上均没有显著差异。然 而，Salter 骨盆截骨组的颈干角的大小，关节转子间距更接近正常髋关节。我们认 为，Salter 骨盆截骨在治疗 Perthes 时的优势在于减少术后残余畸形，如髋关节内 翻，大粗隆过度生长。 关键词: Salter 骨盆截骨；股骨近端内翻截骨；Perthes 病。 作 者：刘 亚 指导老师：王晓东 教授 I 英文摘要 Salter 骨盆截骨和股骨内翻截骨治疗Perthes 病的比较研究 A study of comparison of the results from the Salter innominate osteotomy and the femoral varus osteotomy for the treatment of Perthes’ disease Abstract Objective: To study which is a better method for Perthes’ disease,we collect several patients treated by the femoral varus osteotomy or Salter osteotomy in our hospital recent years. Method: We reviewed the records of 29 patients with Perthes’ disease in our hospital between 2004 and 2012. Seventeen patients with unilateral involvement treated by the Salter innominate osteotomy and twelve patients treated by the femoral varus osteotomy were included in the study, and the clinical and radiographic results of these two surgical procedures were compared. Res