Salter骨盆截骨和股骨内翻截骨治疗Perthes病的比较研究

发布时间：2018-03-12 13:01

本文选题：Salter骨盆截骨　切入点：股骨近端内翻截骨　出处：《苏州大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:收集近年来本院治疗的儿童Perthes病病例,比较Salter骨盆截骨及股骨内翻截骨术治疗儿童Perthes病的疗效。方法:2004~2012年有29例Perthes病住院病例,分2组进行比较。A组(Salter骨盆截骨组)17例;B组(股骨内翻截骨组)12例。根据临床结果及X线Stulberg标准进行疗效评价。结果:经3~9年随访,2组的临床表现及功能上无明显差异;按Stulberg标准优良率分别为:A组65%B组58%,差别无统计学意义;在X线片表现上,包括患侧股骨颈干角、关节转子间距等指标上,Salter骨盆截骨组与健侧差异较小;两组髋臼的覆盖无明显差异。结论:Salter骨盆截骨和股骨近端内翻截骨两种包容手术治疗Perthes病的临床疗效之间没有明显差异,股骨头的形态以及髋关节协调性上均没有显著差异。然而,Salter骨盆截骨组的颈干角的大小,关节转子间距更接近正常髋关节。我们认为,Salter骨盆截骨在治疗Perthes时的优势在于减少术后残余畸形,如髋关节内翻,大粗隆过度生长。
[Abstract]:Objective: to compare the efficacy of Salter pelvic osteotomy and femoral varus osteotomy in the treatment of children with Perthes's disease. Methods: from 2004 to 2012, 29 cases of Perthes's disease were hospitalized. Two groups were divided into two groups. There were 17 cases of Salter pelvis osteotomy in group A and 12 cases in group B (femoral varus osteotomy group, 12 cases). The curative effect was evaluated according to the clinical results and X-ray Stulberg standard. Results: there was no significant difference in clinical manifestation and function between the two groups after 3 ~ 9 years follow-up. According to the standard of Stulberg, the excellent and good rates were 65% in group A and 58 in group B. there was no significant difference in X-ray findings, including the angle of femoral neck trunk of the affected side, the distance between the femoral neck and the rotors of the affected side, and the difference between the osteotomy group of pelvis and the healthy side. There was no significant difference in acetabular coverage between the two groups. Conclusion there is no significant difference between the two types of inclusive surgery in the treatment of Perthes's disease. There was no significant difference in the shape of the femoral head and the coordination of the hip joint. However, the size of the neck shaft angle in the Salter pelvic osteotomy group, We believe that the advantage of Salter pelvis osteotomy in the treatment of Perthes lies in the reduction of postoperative residual deformities such as hip varus and overgrowth of the great trochanter.
【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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