全髋关节置换术的疗效评价

目的对人工全髋关节置换的病例进行分析总结,评价人工全髋置换术的疗效.方法回顾调查1995年1月～2001年6月该院进行人工全髋关节置换术152例(157髋).男73例,女89例;平均年龄56.2岁.股骨颈骨折69例,股骨头缺血性坏死47例,骨关节病32例,骨肿瘤6例,强直性脊柱炎3例.患者的情况以Harris评分为标准.对患者术前、术后和随访期间的症状、体征、X线照片进行总结评价.结果152例(157髋)患者其中5例现已死亡,失访5例,其余142例(143髋)患者随访1.5～8.0年,平均4.1年.平均Harris评分由术前的55.8分提高到术后的95.0分,最后一次随访平均Harris评分为87.1分.骨水泥反应3例,下肢深静脉栓塞2例,伤口感染3例,髋关节脱位4例,股骨骨折3例,疼痛24例,下肢不等长2例.结论全髋关节置换术作为髋关节重建的一种有效方法,可为患者解除疼痛,恢复髋关节功能,提高生活质量.

Evaluation about treatment effect of total hip replacement

Objective: To analyse and evaluate the treatment effect of effect total hip replacement (THR), to evaluate the effect of treatment. Methods: 152 patients(157 hips) underwent THR from January 1995 to June 2001 in XiangYa Hospital. The series of patients included 73 male and 89 female, with an average age of 56 years. Femoral neck fracture 69 cases, avascular necrosis 47 cases, osteoarthritis 32 cases, femoral tumor 6 cases, ankylosing spondylitis 3 cases. Harris score was taken as the criterion to evaluate the symptom,sign and X-ray in preoperation,postoperation and follow up. Results: Of the 152 cases(153 hip), 5 cases were dead, 5 cases lost follow-up, the other were followed up for 4.1 years on average (from 1.5 years to 8.0 years). The Harris score improved from preoperational 55.8 to postoperational 95.0, Harris score was 87.1 in the last follow-up.The complication included cement reaction 3 cases, nerve damage 2 cases, deep vein throbolism of the lower limb 2 cases, infection of the would 3 cases, dislocation of the hip 4 cases, femoral frature 3 cases, pain 24 cases, limb length discrepancy 2 cases. Conclusions: Total hip replacement is an effective method for hip joint restruction, it can relieve the pain, regain the function of the hip joint,and improve the quality of living.