合肥地区人工髋关节置换病因及相关因素分析

发布时间：2018-11-14 08:00

【摘要】：背景:人工髋关节置换不仅病因复杂,而且其发病与性别、年龄关系密切。目的:分析合肥地区行人工髋关节置换患者的病因组成及其在性别、年龄及发病趋势上的分布特点,以期提高对影响髋关节健康的疾病及易感因素进行早期筛查及预防。方法:对2008-01/2013-12在合肥地区五所医院的3 056例行人工髋关节置换患者行回顾性分析,按照出院诊断分成11类,统计其年龄和性别构成比。并将年龄和性别构成比进行卡方检验,P0.05则差异有显著意义。结果:在3 056例行人工髋关节置换患者中,髋部骨折1 763例(56.78%),股骨头缺血性坏死545例(17.55%),原发性骨性关节炎461例(14.85%),先天性髋关节发育不良196例(6.31%),类风湿性关节炎35例(1.13%),强直性脊柱炎10例(0.32%),创伤性关节炎26例(0.84%),感染性关节炎12例(0.39%),髋部肿瘤4例(0.13%),骨纤维性发育不良3例(0.097%),大骨节病1例(0.032%)。50岁以上患者数量明显高于50岁以下(包括50岁)(χ2=12.7,P0.05)。女性患者数量高于男性(χ2=61.07,P0.05)。结论:合肥地区行人工髋关节置换患者病因复杂,髋部骨折,股骨头缺血性坏死和原发性髋关节炎是其主要病因,以50岁以上患者为主,女性所占比例高于男性。
[Abstract]:Background: hip replacement is not only complicated in etiology, but also closely related to sex and age. Objective: to analyze the etiological factors of patients undergoing hip arthroplasty in Hefei and their distribution in sex, age and incidence trend, in order to improve the early screening and prevention of diseases and predisposing factors affecting hip joint health. Methods: a retrospective analysis was performed on 3 056 patients with artificial hip replacement in 5 hospitals of Hefei from January to December in 2008 to December 2013. According to the diagnosis of discharge, the patients were divided into 11 categories, and their age and sex composition ratio were analyzed. And the age and sex composition of the chi-square test, P0.05, there was a significant difference. Results: among 3 056 patients with artificial hip replacement, 1,763 cases (56.78%) had hip fracture, 545 cases (17.55%) had avascular necrosis of femoral head, 461 cases (14.85%) had primary osteoarthritis. There were 196 cases of congenital dysplasia of hip (6.31%), 35 cases of rheumatoid arthritis (1.13%), 10 cases of ankylosing spondylitis (0.32%) and 26 cases of traumatic arthritis (0.84%). 12 cases (0.39%) of infectious arthritis, 4 cases (0.13%) of hip tumors, 3 cases (0.097%) of fibrous dysplasia of bone. One case (0.032%) of Kaschin-Beck disease (KBD). The number of patients over 50 years old was significantly higher than that under 50 years old (including 50 years old) (蠂 2 12.7P 0.05). The number of female patients was higher than that of male patients (蠂 2: 61.07 P 0.05). Conclusion: the etiology of patients undergoing artificial hip replacement in Hefei is complicated. Hip fracture, avascular necrosis of femoral head and primary hip arthritis are the main causes. The proportion of female is higher than that of male.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.4

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