人工髋关节置换术的疗效分析

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。关

Therapeutic effect evaluation of artificial hip replacement

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 femur (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.