探讨虎潜丸加味结合打压植骨在髋臼侧骨缺损THA中的应用及疗效分析
发布时间：2018-08-11 12:35
【摘要】：目的:探讨虎潜丸加味结合打压植骨在髋臼侧骨缺损人工全髋关节置换术(THA)中的应用及疗效分析。方法:回顾分析本研究对临沂市中医院关节骨科自2012年09月至2014年10月期间收治入院的并有完整资料的50例(60髋)伴髋臼侧骨缺损拟行人工全髋关节置换术的患者,采用随机抽样原则分为数量相等两组,对照组实施打压植骨重建髋臼的人工全髋关节置换术,治疗组在对照组的基础上另服用虎潜丸加味6个月。随访内容包括:①现场调查记录患者的髋关节功能状态,行髋关节Harris评分;②观察THA术后髋臼假体周围骨密度,THA术后1周、3、6个月,用双能X线骨密度仪记录髋臼假体周围骨密度(BMD)的变化,并将治疗组与对照组BMD值做统计比较。结果:全部病历获得随访,经治疗6个月后。①髋关节功能采用Harris评分,治疗组优(㧐90分)12例15髋,良(80~89分)13例14髋,尚可(70~79分)1例1髋,无失败病例(㩳70分),优良率96.67%;对照组优10例12髋,良8例10髋,尚可6例8髋,优良率73.34%。②与对照组比较,THA术后3、6个月髋臼假体各兴趣区骨密度下降趋势较缓和,且术后3、6个月虎潜丸加味治疗组髋臼假体周围骨密度(Ⅲ区)的差异有统计学意义(P0.05),其余各兴趣区两组相比差异无统计学意义。结论:虎潜丸加味结合打压植骨在伴髋臼侧骨缺损人工全髋关节置换术中的应用,相较于单独运用打压植骨治疗,通过术后髋关节Harris评分,髋臼假体周围骨密度的对比,前者的疗效优于后者,说明伴髋臼侧骨缺损髋关节疾病的治疗应将手术与促使移植骨和宿主骨快速整合及防止骨量减少的治疗相结合。THA并不是治疗的终结,而是治疗的开始。
[Abstract]:Objective: to investigate the application and curative effect of modified Huqian pill combined with compression bone graft in (THA) for total hip replacement with acetabular lateral bone defect. Methods: a retrospective analysis of 50 patients (60 hips) with acetabular lateral bone defect who were admitted to the Department of Orthopedics, Linyi traditional Chinese Medicine Hospital from September 2012 to October 2014, was performed. The principle of random sampling was used to divide the two groups into two groups. The control group was treated with artificial total hip arthroplasty, and the treatment group was treated with Huqian pill for 6 months on the basis of the control group. The follow-up included a field survey of the hip function of the patient and a Harris score of the hip joint. The bone mineral density around the acetabular prosthesis and the bone mineral density around the acetabular prosthesis after THA were observed 1 week and 6 months after tha. The changes of bone mineral density (BMD) around the acetabular prosthesis were recorded by dual energy X-ray absorptiometry, and the BMD values of the treatment group and the control group were compared statistically. Results: all the cases were followed up. After 6 months of treatment, Harris score was used to evaluate the hip function. In the treatment group, the excellent (? 90) scores were 12 cases (15 hips), good (80,89 points) 13 cases (14 hips), fair (7079 points) 1 case (1 hip). The excellent and good rate was 96.677.The excellent and good rate of the control group was excellent in 10 cases (12 hips), good in 8 hips (10 hips) and fair in 6 cases (8 hips). The excellent and good rate of 73.34.2 was lower than that of the control group in 3 and 6 months after tha. There was significant difference in bone mineral density (area 鈪，
本文编号：2177009
[Abstract]:Objective: to investigate the application and curative effect of modified Huqian pill combined with compression bone graft in (THA) for total hip replacement with acetabular lateral bone defect. Methods: a retrospective analysis of 50 patients (60 hips) with acetabular lateral bone defect who were admitted to the Department of Orthopedics, Linyi traditional Chinese Medicine Hospital from September 2012 to October 2014, was performed. The principle of random sampling was used to divide the two groups into two groups. The control group was treated with artificial total hip arthroplasty, and the treatment group was treated with Huqian pill for 6 months on the basis of the control group. The follow-up included a field survey of the hip function of the patient and a Harris score of the hip joint. The bone mineral density around the acetabular prosthesis and the bone mineral density around the acetabular prosthesis after THA were observed 1 week and 6 months after tha. The changes of bone mineral density (BMD) around the acetabular prosthesis were recorded by dual energy X-ray absorptiometry, and the BMD values of the treatment group and the control group were compared statistically. Results: all the cases were followed up. After 6 months of treatment, Harris score was used to evaluate the hip function. In the treatment group, the excellent (? 90) scores were 12 cases (15 hips), good (80,89 points) 13 cases (14 hips), fair (7079 points) 1 case (1 hip). The excellent and good rate was 96.677.The excellent and good rate of the control group was excellent in 10 cases (12 hips), good in 8 hips (10 hips) and fair in 6 cases (8 hips). The excellent and good rate of 73.34.2 was lower than that of the control group in 3 and 6 months after tha. There was significant difference in bone mineral density (area 鈪，
本文编号：2177009
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