100例初次全髋关节置换术后5年随访研究

发布时间：2018-01-28 21:45

本文关键词： 髋关节置换关节成形术随访　出处：《广西医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的对100例初次全髋关节置换(THA)术后5年的患者进行随访研究,探讨其临床疗效、并发症及影响因素。方法对2011年6月一 2011年12月,在柳州市工人医院关节外科行THA的100例(123髋)残疾人患者进行临床及影像学随访。临床随访采用Harris评分、SF-36健康调查量表对术前、术后髋关节功能以及生活质量进行评价。影像学随访采用Gruen股骨分区法和DeLee-Charnley髋臼分区法对股骨假体和髋臼假体作影像学评价分析。结果截至末次随访,82(99髋)例获得有效随访,其中男71例(86髋),女11例(13髋),随访率82.0%,平均随访时间5.2年(5.0～5.5年)。Harris评分由术前平均46.82分(4～75分)提高至末次随访平均91.31分(27～100分),其中优(65髋)、良(19髋)、可(10髋)、差(5髋),优良率为91.7%。SF-36量表评分结果:SF-36 PCS由术前的(31.19±9.16)分提高至(72.96± 16.22)分;而SF-36 MCS则由术前的(33.50 ±8.50)分提高至(64.15±11.72)分。无菌性松动3髋、假体周围骨溶解23髋、异位骨化5髋、跛行13例,无假体脱位、周围骨折及感染。结论1.残疾人患者初次THA 5年随访整体疗效满意,患者生活质量明显提高,长期疗效仍需进一步随访。2.本次随访研究存在部分患者失访,术后随访管理不够规范,急需建立一个更加规范、高效的随访制度。
[Abstract]:Objective to investigate the clinical effect of 100 patients with THAs after primary total hip replacement (THA) for 5 years. Methods on June 1st 2011 and December 2011. The clinical and imaging follow-up of 100 patients with THA in the department of arthrosurgery of Liuzhou Workers Hospital were performed. The Harris score was used in the clinical follow-up. SF-36 health survey scale was used before operation. The hip function and quality of life were evaluated after operation. Imaging follow-up was performed with Gruen femur division and DeLee-Charnley acetabular division for the evaluation of femoral prosthesis and acetabular prosthesis. The results were up to the last follow-up. The follow-up rate was 82.0% for 71 males (86 hips) and 11 females (13 hips). The mean follow-up time was 5.2-5.0-5.5 years. Harris score increased from 46.82 to 91.31 in the last follow-up (mean 46.82 卤475) (P < 0.05). 27 ~ 100). Among them, 65 hips were superior, 19 were good, 10 were good, and 5 were poor. The excellent and good rate was 91.7%. The score of SF-36 PCS increased from 31.19 卤9.16 to 72.96 卤16.22; The score of SF-36 MCS increased from 33.50 卤8.50 to 64.15 卤11.72. The aseptic loosening was found in 3 hips and osteolysis around the prosthesis in 23 hips. Ectopic ossification 5 hips, claudication 13 cases, no prosthesis dislocation, peripheral fracture and infection. 1. The first 5-year follow-up of the disabled patients with THA overall efficacy was satisfactory, the quality of life of the patients improved significantly. 2. The long-term effect still needs to be further followed up .2.In this follow-up study, some patients have lost visits, and the management of postoperative follow-up is not standardized, so it is urgent to establish a more standardized and efficient follow-up system.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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