55岁以上患非骨水泥假体全髋关节置换术后的中远期疗效.pdfVIP

摘 要 55 岁以上患者非骨水泥假体全髋关节置换术后的 中远期疗效 研究生：郭鑫 导师：曹力 教授 摘 要 目的：探讨应用非骨水泥假体行全髋关节置换术（THR ）对55岁以上老年患者 临床价值。方法：回顾性分析我院2002年～2004年45例年龄在55岁以上患者53髋非 骨水泥假体全髋关节置换术的手术效果，术后随访6～8年，平均6.8年，对术后髋关 节功能进行Harris评分及复查X线片，观察假体稳定性。结果：患者术后45例53髋无 感染、假体松动翻修，无关节严重疼痛、功能障碍等。术后Harris评分由平均51分提 高到87.9分。结论：高龄是行全髋人工关节置换术的危险因素，但不是绝对禁忌症。 非骨水泥全髋关节假体在55岁以上年龄组患者人工全髋关节置换术中效果满意，术 后中远期并发症少，可有效改善患者患肢功能，明显提高生活质量。 关键词：非骨水泥； 髋关节置换； 效果 —1— 新疆医科大学医学硕士学位论文 Medium- and long-term curative effect of total hip replacement (THR) with uncement prosthesis for patients older than 55 years old Postgraduate: GuoXin Adviser: CaoLi Professer Abstract Objective: To explore the clinical effect of total hip replacement (THR) with uncement prosthesis for patients older than 55 years old. Methods: The surgical effect 3 of 45 patients who underwent THR from 2002 to2004 were retrospectively analyzed. The follow up duration was 6 to 8 years, averaging 6. 8 years. According to Harris scoring and actinogram, the postoperative hip joint function was evaluated. Results: All patients haven’t got infection, loosening of prosthesis, a lot of pain of hip or function disorder The Harris hip score increased from pre - operative 51points to post-operative 87. 9 points . Conclusion: The medium- and long-term results of THR with uncement prosthesis for patients older than 55 years old are satisfactory, complications are less than those with cement prosthesis. THR can improve patients hip joint function obviously, elevate their life quality. Keywords: uncement prosthesis;