探讨全髋关节置换与髋关节表面置换治疗股骨头缺血性坏死临床效果.docVIP

精品论文 参考文献 探讨全髋关节置换与髋关节表面置换治疗股骨头缺血性坏死临床效果 哈尔滨骨伤科医院 150001 摘要：目的 研究并探讨全髋关节置换与髋关节表面置换治疗股骨头缺血性坏死的临床效果。方法 此次研究的对象是选取本院骨科20091～20121期间诊治的135例股骨头缺血性坏死患者，将其临床资料进行回顾性分析，并随机分为观察组68例，对照组67例。结果观察组术后并发症的发生率为1765%，显著低于对照组（3731%），chi;2=4011，Plt;005，提示并发症比较存在显著差异性，有统计学意义；术前两组髋关节功能评分比较，t=3662，Pgt;005，无统计学差异；两组术后12个月髋关节功能评分比较，t=2246，Plt;005，提示两组疗效有显著差异性，有统计学意义。结论髋关节表面置换术治疗股骨头缺血性坏死，能显著缓解疼痛，术后髋关节功能较为理想，值得临床推广应用。 关键词：全髋关节置换；髋关节表面置换；股骨头缺血性坏死 [Abstract] Objective To investigate the clinical effect of total hip arthroplasty and hip arthroplasty in the treatment of ischemic necrosis of the femoral head. Method the study object is to select the hospital 20091 to 20121 during diagnosis and treatment of 135 cases of femoral head ischemic necrosis of patients， the clinical data were retrospectively analyzed， and divided randomly for 68 cases in the observation group and the control group（67 cases）. Results in the observation group after the incidence of complications for 1765%， significantly lower than the control group（3731%）， X 2=4011， P lt; 0. 05， complications prompted comparison exist significant differences， was statistically significant；preoperative two groups of hip joint function score compared t=3662， P gt; 005， no significant difference；two groups of postoperative function of hip score at 12 months compared t=2246， P lt; 0.05， suggesting that curative effect of the two groups have significant difference， was statistically significant. Conclusion hip arthroplasty for the treatment of avascular necrosis of the femoral head， can significantly relieve pain， postoperative hip function is more ideal， it is worthy of clinical application. [Key words] total hip arthroplasty；hip joint replacement；femoral head necrosis 股骨头缺血性坏死（avascularnecrosis，AVN）是骨科常见的难治性疾病[1]。是因创伤或不当用药导致的股骨头血供受损，造成的股骨头结构改变、关节功能障碍。临床治疗中多全髋关节置换与髋关节表面置换的手术方法，为探讨两种方法的疗效，笔者对河南省平顶山市第五人民医院135例股骨头缺血性坏死患者进行了分组对照研究，现报道如下。 1资料与方法 1.1一般资料 选取本院骨科20091～20121期间诊治的135例股骨头缺血性坏死患者为研究对象，随机分为观察组68例（采用髋关节