摘要
目的探讨髋臼中心化在髋臼发育不良全髋关节置换术中的应用效果。方法 40例行全髋关节置换术的髋臼发育不良患者,采用随机数字法分为对照组和观察组,每组20例。对照组采用Harris常规方法处理,观察组采用髋臼中心化手术技术处理。比较两组患者手术前后Harris评分及髋臼旋转中心测量结果。结果两组患者手术后6、12个月Harris评分均显著高于手术前,且观察组患者显著高于对照组,差异具有统计学意义(P<0.05)。观察组患者手术后髋臼旋转中心测量结果与对照组比较差异具有统计学意义(t=5.684、5.606,P<0.05)。观察组患者手术后髋臼旋转中心比对照组更接近于真实的髋臼旋转中心。结论髋臼中心化用于髋臼发育不良全髋关节置换术可有效纠正髋臼旋转中心,改善患者的髋关节功能,值得推广应用。
Objective To discuss the application effect of acetabular centralization in total hip arthroplasty with acetabular dysplasia. Methods A total of 40 acetabular dysplasia patients with total hip arthroplasty were divided by random number table method into control group and observation group, with 20 cases in each group. The control group received Harris routine method, and the observation group received acetabular centralization surgical technique. Comparison were made on Harris score before and after operation and measurement results of acetabular rotation center between the two groups. Results Both groups had obviously higher Harris score in postoperative 6 and 12 months than before operation, and the observation group was obviously higher than the control group. Their difference was statistically significant（P〈0.05）. The observation group had statistically significant difference in measurement results of acetabular rotation center after operation, comparing with the control group（t=5.684, 5.606, P〈0.05）. The acetabular rotation center of the patients in the observation group was closer to the true acetabular rotation center than the control group. Conclusion Application of acetabular centralization in total hip arthroplasty with acetabular dysplasia can effectively correct acetabular rotation center and improve the hip function in patients. It is worthy of popularization and application.
作者
黄平
李远志
欧阳思强
洪锦向
苏显球
HUANG Ping;LI Yuan-zhi;OUYANG Si-qiang;et al(Guangdong Yangchun People＇ s Hospital, Yangchun 529600, Chin)
出处
《中国实用医药》
2018年第12期18-19,共2页
China Practical Medicine
关键词
髋臼中心化
髋臼发育不良
全髋关节置换术
Acetabular centralization
Acetabular dysplasia
Total hip arthroplasty
