摘要
目的探讨髋关节骨性关节炎(OA)选择全髋关节置换术(THA)治疗的一些量化因素。方法回顾性分析106例髋关节骨性关节炎,其中65例选择非手术治疗,41例选择全髋关节置换。分析两组年龄、经济收入、文化程度、发病持续时间、髋关节最狭窄处间隙值及Harris评分。结果两组Harris评分、髋关节最狭窄处间隙值、经济收入及文化程度差异有统计学意义(P<0.05);年龄及发病持续时间差异无统计学意义(P>0.05)。结论患者的Harris评分值、髋关节最狭窄处间隙值、经济收入及文化程度4个指标的测量及综合分析可作为临床骨科专家决定髋关节骨性关节炎选择全髋置换重要的量化指标,而患者的年龄及发病持续时间仅可作为临床骨科医生决策的参考因素。
Oajeetive To investigate the quantitative indices in selecting the total hip arthroplasty （THA） for hip osteoarthritis （OA）. Methods The data of 106 patients with hip osteoarthritis were retrospectively analyzed, including 65 eases with non- operation and 41 eases with THA. All patients＂ information included their age, income, education degree, duration of hip OA, radiologieal joint space width and Harris scores. Results There were statistical difference between the two group data （including Harris seores,radiologieal joint space width, education degree and income）（P 〈0.05）. There were no statistical significant between the two group data（including their age and duration of hip OA） （P 〉0.05）. Conclusion The Harris scores, radiological joint space width, income and education degree should be measured and analyzed preoperatively and be used as some important quantitative indices by orthopedic surgeons to determine if patients with hip OA should be referred to THA. The patients, age and duration of hip OA are not obviously relevant to THA, but these factors should be considered before operation.
出处
《中国骨与关节损伤杂志》
2012年第12期1078-1080,共3页
Chinese Journal of Bone and Joint Injury
基金
交通运输部长航局科技项目(201010022)
