非骨水泥型与骨水泥型全髋置换术治疗强直性脊柱炎髋关节病

目的 探讨针对强直性脊柱炎髋关节病变患者, 观察临床分别选择非骨水泥型全髋置换术以及骨水泥型全髋置换术完成治疗后获得的临床效果. 方法 随机选择该院2013年2月—2015年2月强直性脊柱炎髋关节病变患者70例.利用抽签法对所有髋关节病变患者实施随机分组.C2组(对照组 35例):临床选择骨水泥型全髋置换术进行治疗;C1组(观察组 35例):临床选择非骨水泥型全髋置换术进行治疗.对比两组患者在Harris评分优良率以及完成手术后出现假体松动概率方面存在的差异. 结果 两组患者完成治疗后,在Harris评分方面,C1组优于C2组强直性脊柱炎髋关节病变患者,但差异无统计学意义(P>0.05);在出现假体松动概率方面,C1组低于C2组强直性脊柱炎髋关节病变患者明显(P<0.05). 结论 针对强直性脊柱炎髋关节病变患者,临床选择非骨水泥全髋关节置换术的方法进行治疗,能够有效避免出现假体松动的现象.

Clinical Effect Analysis of Cementless and Cement Total Hip Arthroplasty in Treatment of Ankylosing Spondylitis Hip Joint Disease

Objective To observe the clinical effect of cementless and cement total hip arthroplasty in treatment of ankylos-ing spondylitis hip joint disease. Methods 70 cases of patients with ankylosing spondylitis hip joint disease treated in our hospital from February 2013 to February 2015 were selected and randomly divided into two groups with 35 cases in each, group C2 were given cement total hip arthroplasty in clinic, group C1 were given cementless total hip arthroplasty in clinic, the differences in the excellent and good rate of Harris score and probability of the appearance of prosthesis loosening after operation of the two groups were compared. Results After treatment, the Harris score of group C1 was higher than that in the group C2, however, there was no obvious difference (P>0.05), the probability of the appearance of prosthesis loosening in group C1 was obviously lower than that in group C2 (P<0.05). Conclusion Cementless total hip arthroplasty in treatment of patients with ankylosing spondylitis hip joint disease in clinic can effectively avoid the appearance of prosthesis loosening.