强直性脊柱炎人工全髋关节置换31例临床剖析.docVIP

强直性脊柱炎人工全髋关节置换31例临床剖析 　　[摘要] 目的 对强直性脊柱炎患者行人工全髋关节置换术（Total hip Arthroplasty， THA）的临床效果进行分析探讨。 方法 整群选取该院2012年1月―2013年1月收治的61例（77髋）强直性脊柱炎患者按照治疗方法分为对照组与观察组，对照组30例（37髋）患者以西药治疗，观察组31例患者（40髋）行THA术，对比两组患者的治疗效果及主观满意度。结果 观察组治疗优良率为93.55%，对照组治疗优良率为80.00%，观察组治疗优良率明显高于对照组（P0.05）。观察组的手术效果满意度为96.67%，对照组为73.33%，观察组满意度明显高于对照组（P0.05）。结论 对强直性脊柱炎患者开展人工全髋关节置换术能够有效提高手术效果，促进患者预后，值得临床推广应用。 　　[关键词] 强直性脊柱炎；自身免疫性；人工全髋关节置换 　　[中图分类号] R687.4 [文献标识码] A [文章编号] 1674-0742（2016）01（b）-0090-03 　　Clincial Analysis of Total Hip Arthroplasty for 31 Cases with Ankylosing Spondylitis 　　DENG De-jun， ZHANG Yong-jian， DANG Rui， LIU Shuai， LIN Ping-ping 　　Department of orthopedics， Shanghe Peoples Hospital， Jinan， Shandong Province， 251600 China 　　[Abstract] Objective To analyze and discuss the clinical effect of total hip arthroplasty for patients with ankylosing spondylitis. Methods 61 cases （77 hips） of patients with ankylosing spondylitis treated in our hospital from January 2012 to January 2013 were divided into control groups with 30 cases and observation group with 31 cases， the control group （37 hips） were treated with western medicine， the observation group were treated with THA operation， the treatment effect and subjective satisfaction of the two groups were compared. Results The treatment excellent and good rate in the observation group was obviously higher than that in the control group （93.55% vs 80.00%） （P0.05）， the satisfactory of operation effect in the observation group was obviously higher than that in the control group （96.67% vs 73.33%）（P0.05）. Conclusion The total hip arthroplasty for patients with ankylosing spondylitis can effectively improve the operation effect and promote the patient’s prognosis， which is worthy of promotion and application. 　　[Key words] Ankylosing spondylitis； Autoimmunity； Total hip arthroplasty 　　强直性脊柱炎为自身免疫性疾病，其中约有25%～50%的患者合并髋关节受累，主要症状为关节活动受限、疼痛及畸形等[1]。临床上目前对于此类患者多采用人工全髋关节置换术（Total hip Arthroplasty， THA）进行治疗，效果确切[2]。为了进一步对强直性脊柱炎的THA手术治疗效果进行分析探讨，该研究整群选取该