摘要
目的分析全髋关节置换术在治疗创伤性骨关节炎方面的临床疗效与应用价值,为今后类似患者的应用和术中问题的解决提供参考和借鉴。方法研究对象选择该院自2018年1—12月期间所收治的90例创伤性骨关节炎患者,并且按照手术方法差异将其划分为全髋关节置换组(观察组)和髋关节表面置换组(对照组),每组45例。所有患者均进行手术,并且在术后展开相应的随访工作,了解两组患者的术中指标以及髋关节功能,分析治疗方法的应用价值。结果观察组在手术时间(150.0±11.4)min、术中出血量(698.0±22.7)mL、髋关节屈伸活动度(110.2±6.3)°,明显优于对照组(204.7±10.9)min、(941.4±19.9)m L、髋关节屈伸活动度(95.5±5.8)°,数据结果差异有统计学意义(t=3.356、3.780、3.268,P<0.05);在髋关节功能方面,观察组的优、良例数41(91%)比对照组33(73%)更多,数据对比差异有统计学意义(χ2=4.865,P<0.05)。结论人工全髋关节置换术是治疗创伤性骨关节炎的有效治疗手段,对于患者生活质量和预后恢复具有明确的应用价值,在今后的治疗过程中能够推广使用。
Objective To analyze the clinical efficacy and application value of total hip arthroplasty in the treatment of traumatic osteoarthritis,and to provide references and references for the future applications and similar problems in similar patients.Methods The study subjects selected 90 patients with traumatic osteoarthritis treated in the hospital from January to December 2018,and were divided into total hip replacement group(observation group) and hip joint surace replacement group(control group) according to the differences in surgical methods,45 cases in each group.All patients underwent surgery,and the corresponding follow-up work was performed after the operation to understand the intraoperative indicators and hip joint function of the two groups of patients,and to analyze the application value of the treatment method.Results In the observation group,the operation time(150.0±11.4) min,intraopemtive blood loss(698.0±22.7)mL,and hip flexion and extension activity(110.2±6.3)° were significantly better than the control group(204.7±10.9)min and(941.4±19.9)mL.The degree of flexion and extension of the hip joint was(95.5±5.8)°,and the data showed.the difference was statistically significant(t=3.356,3.780,3.268,P<0.05).In terms of hip joint function,the excellent and good number of the observation group was 41(91%),more than the control group 33(73%),the data contrast was statistically significant(χ^-4.865,P<0.05).Conclusion Artificial total hip arthroplasty is an effective treatment method for traumatic osteoarthritis,and it has clear application value for patients’ quality of life and prognosis recovery.It can be used in the future treatment process.
作者
陈宁
李准
CHEN Ning;LI Zhun(Department of Surgery,Section Four,Tengnan Hospital of Zaozhuang Mining Graup,Jiing,Shandong Province 277606 China;Department of Surgery,Section Two,Tengnan Hospital,Zaozhuang Mining Group,Jining,Shandong Province,277606 China)
出处
《世界复合医学》
2020年第5期32-34,共3页
World Journal of Complex Medicine
