长期血液透析患者生物型假体髋关节置换术的疗效分析

发布时间：2018-06-09 23:13

  本文选题：关节成形术 + 置换　； 参考：《重庆医学》2017年29期

【摘要】：目的分析生物型髋关节假体在长期血液透析并发髋关节相关疾病患者行全髋关节置换(THA)的长期稳定性。方法回顾性分析2007-2016年重庆市人民医院(三院院区)收治的因慢性肾衰竭接受长期血液透析并发髋关节相关疾病的患者7例(11个髋关节),观察其髋臼及股骨柄假体松动程度及术后并发症的发生率。结果所有患者随访12~60个月(平均38个月)。D′Aubigne和Postel评分系统髋关节评分从术前平均7.7分恢复到术后14.5分。所有股骨柄假体均出现骨长入。虽然1个股骨柄假体出现下沉,但随访2年后未出现继续松动。广泛涂层生物型假体可在慢性肾功能不全患者THA后出现有效骨长入。结论生物型髋关节假体置换是长期血液透析并发髋关节相关疾病患者的有效治疗方案。
[Abstract]:Objective to analyze the long-term stability of biological hip prosthesis with total hip replacement (THA) in hemodialysis patients with hip-related diseases. Methods from 2007 to 2016, 7 patients (11 hips) with chronic renal failure who received long-term hemodialysis complicated with hip joint related diseases were analyzed retrospectively in Chongqing people's Hospital (third Hospital). The acetabular and femoral pedicle prostheses were observed. Degree of loosening and incidence of postoperative complications. Results all the patients were followed up for 12 ~ 60 months (mean 38 months). The hip score of Aubigne and Postel system recovered from 7.7 before operation to 14.5 after operation. Bone growth was found in all femoral stalk prostheses. Although one femoral prosthesis sank, no further loosening occurred after 2 years follow-up. A wide-coated biological prosthesis can produce effective bone entry after tha in patients with chronic renal insufficiency. Conclusion Biologic hip prosthesis replacement is an effective treatment for long-term hemodialysis patients with hip-related diseases.
【作者单位】： 重庆市人民医院(三院院区)骨科;重庆医科大学第一附属医院骨科;重庆市人民医院(三院院区)门诊部;
【基金】：重庆市卫生和计划生育委员会基金资助项目(2015ZBXM092)
【分类号】：R687.4;R692.5
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本文编号：2001156