摘要
目的探讨人工全髋关节置换术(THA)治疗先天性髋关节发育不良(DDH)的临床效果。方法对新乡医学院第三附属医院2007年2月至2019年2月行THA治疗的50例DDH患者的临床资料进行回顾性分析。通过Harrs评分标准评价患者的髋关节功能恢复情况,分析手术情况及不良反应情况。结果所有患者均顺利完成手术,手术时间(118.45±8.90)min,住院时间(10.10±1.46)d,术中出血量(707.74±244.48)ml。出院时,所有患者均为Ⅰ期切口愈合,术后股骨近端出现骨折裂隙、坐骨神经损伤、髋半脱位各1例,不良反应发生率为6%。术后,患髋Harris评分明显提高,双下肢长度差明显减小(P<0.05)。结论 THA是治疗DDH的可靠手段,可有效改善肢体长度差及髋关节功能,具有推广价值。
Objective To analyze the clinical effect of total hip arthroplasty(THA) on hip dysplasia(DDH). Methods The clinical data of 50 patients with DDH who were treated in the Third Affiliated Hospital of Xinxiang Medical College treated with THA from February 2007 to February 2019 were analyzed retrospectively. The recovery of hip function was evaluated by Harrs score, and the operation and adverse reactions were analyzed.Results All patients underwent successful operation. The operation time was(118.45±8.90) min, the hospital stay was(10.10±1.46) days, and the intraoperative blood loss was(707.74±244.48) ml. At the time of discharge, all patients underwent a stage I incision. There were 1 case of fracture fracture, 1 case of sciatic nerve injury and 1 case of hip subluxation in the proximal femur. The adverse reaction rate was 6%. After operation, the Harris score of the hip was significantly improved, and the length difference between the lower limbs was significantly reduced(P<0.05). Conclusions THA is a reliable method for the treatment of DDH, which can effectively improve the difference in limb length and hip function, and has a promotion value.
作者
张春旺
王光艾
吴俊涛
Zhang Chunwang;Wang Guang'ai;Wu Juntao(Department of Orthopaedics,the Third Affiliated Hospital of Xinxiang Medical College,Xinxiang 453000,China;Department of Nephrology,Rongjun Hospital of Henan Province,Xinxiang 453000,China)
出处
《临床医学》
CAS
2019年第11期39-41,共3页
Clinical Medicine
