摘要
使用人工全髋关节置换术治疗１６例髋关节结核，其中活动期２例，静止期１１例，愈合期３例；平均年龄３７４（２２～６０）岁，术前常规抗结核药物治疗３周以上；术后对活动期和静止期髋关节结核患者予常规抗结核治疗６个月以上。经术后平均２９（１２～７１）个月随访，按中华医学会制定的髋关节人工置换术后疗效评定标准评分，术后为：疼痛５５０±０８９，髋关节功能５２５±０８５，髋关节活动度５１２±１３１，均明显高于术前评分（Ｐ＜００１）。本组除１例结核病灶复发和１例大转子截骨处骨不连外，未见其它并发症。表明在现代抗结核药物治疗的基础上，人工全髋关节置换术是治疗髋关节结核的一种可供选择的、较理想的方法且术后结核病灶复发率较低。
Sixteen total prostheses were implanted in 16 patients who had tuberculous coxarthrosis of a hip.2 cases were active tuber,11 cases were quiescent tuber and 3 cases were cured tuber.The average age was 37.4 years old.Antituberculous drugs were given for 3 weeks prior to the operation and over 6mon postoperatively.The follow-up period averaged 29mon.The patients were evaluated by the method of Chinese Medical Association at preoperation and the final follow-up.There were significant difference in the mean scores of the pain,function and movement of the hip (P<0.01).One case of quiescent tuberculosis got recurrence.Thus total arthroplasty appeared to be a safe procedure and capable of providing a painless,mobile and stable joint for patient with a tuberculosis of the hip. Author′s address\ The 2nd Affiliated Hospital of Lanzhou Medical College,Gansu,730030
出处
《中国康复医学杂志》
CAS
CSCD
1997年第2期62-64,共3页
Chinese Journal of Rehabilitation Medicine
