摘要
目的观察强直性脊柱炎（AS）合并髋关节强直或疼痛患者行全髋关节置换术的疗效。方法对48例（77髋）行全髋关节置换术，术后随访12～96个月.结果患者术前髋关节总活动度为36．4°±8．8°，术后为193．0°±12．7°。术后无脱位、感染等并发症。Harris评分术前平均为（33．0±9．0）分，术后为（85．3±7．4）分，其中优55髋，良13髋，可8髋，差1髋，优良率88．3％。X线片显示未见假体松动，7髋（9．1％）发生异位骨化。结论全髋关节置换术治疗AS髋关节病变临床效果满意。
Objective To observe the curative effect of total hip arthroplasty （THA） for treatment of patients with ankylosing spondylitis（AS） complicating arthrocleisis. Methods Forty-eight patients （77 hips） with AS were performed with THA,all cases were followed-up for 12 -96 months after operation. Results The total range of motion improved from 36.4° ± 8.8° before surgery to 193.0°±12.7° at the final follow-up time. No complication such as dislocatlon,infection happened. The average Harris hip score increased from 33.0 ± 9.0 points before operation to 85.3 ± 7.4 points after operation. According to Harris hip score,55 hips got excellent results, 13 hips got good results and 9 hips got fair results,the good and excellent rat was 88.3%. Aceording to X ray, there were no loosening of prosthesis, heterotopic ossification appeared in 7 hips （9. 1% ）. Conclusion Total hip arthroplasty is a very important and effective treatment to patients with AS.
出处
《新乡医学院学报》
CAS
2009年第1期66-68,共3页
Journal of Xinxiang Medical University
关键词
强直性脊柱炎
髋关节
全髋关节置换术
nkylosing spondylitis
hip replacement
total hip arthroplasty
