南方医科大学学报

南方医科大学学报 ›› 2005, Vol. 25 ›› Issue (09): 1188-1190.

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人工髋关节置换术的疗效分析

王志强1, 陆金红2, 王茂涛1   

  1. 1. 中国人民武装警察医学院附属医院骨科, 天津, 300162;
    2. 天津医院, 天津, 300211
  • 出版日期:2005-09-20 发布日期:2005-09-20
  • 基金资助:
    收稿日期:2005-8-11。
    作者简介:王志强(1968- ),男,主治医师,主要研究方向:脊柱创伤,电话:022-60578745.

Therapeutic effect evaluation of artificial hip replacement

WANG Zhi-qiang1, LU Jin-hong2, WANG Mao-song1   

  1. 1. 中国人民武装警察医学院附属医院骨科, 天津, 300162;
    2. 天津医院, 天津, 300211
  • Online:2005-09-20 Published:2005-09-20

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摘要： 目的 探讨人工髋关节置换的手术适应证与手术相关的问题。方法 对1996~2001年实施的有完整的临床随访资料的人工髋关节置换术37例进行总结分析。结果 随访1~5年,按Harris评分标准,术前平均51分,术后平均82分,优10例,良23例,中2例,差2例,优良率89%。并发症:假体松动下沉2例,关节脱位1例,假体柄下端穿出股骨1例,感染3例,无下肢深静脉栓塞、坐骨神经损伤,亦无其他全身性严重并发症发生。结论 认为只要手术适应证选择好,术前准备充分,术中操作熟练,术后处理得当,人工髋关节置换可使患者获得良好的效果,且能减少并发症的发生。

Abstract: Objective To discuss the indications and other related issues of artificial hip replacement. Method A retrospective analysis was conducted in 37 cases with artificial hip replacement with complete follow-up data treated between 1996 and 2001. Results The patients were followed up for 1 to 5 years. The average Harris score of these patients was 51 preoperatively and 82 postoperatively, and 10 of them had excellent, 23 good, 2 acceptable and 2 poor outcomes. Such complications as prothesis mobilization (2 cases), joint dislocation (1 case), prothesis pricking through the femor (1 case) and infection (3 cases) occurred after the operation. Embolism in the deep veins of the lower limb, sciatic nerve injury or severe general complications were not observed. Conclusion Proper evaluation of the indications, careful preoperative preparation, proficient operative skills, and good postoperative treatment can ensure favorable outcome of artificial hip replacement with minimum complications.

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