人工全髋关节置换术治疗56例强直性脊柱炎的临床研究Clinical study of total hip arthroplasty in treating 56 cases with ankylosing spondylitis
崔旭;张伯勋;李静东;
摘要(Abstract)：
[目的]探讨人工全髋关节置换术治疗强直性脊柱炎的疗效。[方法]对56例(98髋)强直性脊柱炎患者行人工全髋关节置换术,其中42例(76髋)进行了平均5.6(2.5~10.5)a的随访。[结果]至末次随访时,Harris评分由术前的平均26.8(4~51)分提高到了术后的平均85.2(55~94)分,优良率为89.5%。1例感染行Ⅱ期翻修;2例在扩髓时出现股骨颈或股骨距裂缝骨折,但未到达小粗隆以下,未予特殊处置;1例出现足下垂,术后3个月后恢复,1例深静脉血栓,余病例无假体松动、断裂以及脱位发生。异位骨化发生率9.2%(7髋),但对功能无明显影响。[结论]人工全髋关节置换术治疗强直性脊柱炎可以明显缓解髋关节疼痛,恢复关节功能,与其它病因的全髋关节置换术相比,并无较高的危险因素。
关键词(KeyWords)： 关节成形术;强直性脊柱炎;髋关节
基金项目(Foundation):
作者(Author): 崔旭;张伯勋;李静东;
Email:
DOI:
参考文献(References)：
- (1)董天华,卢世璧,吉士俊,等.髋关节外科学[M].郑州:郑州大学出版社,2005,377-378.
- (2)吕厚山.关节炎外科学[M].北京:人民军医出版社,2002,246-259.
- (3)Sh ih LY,Chen TH,Lo WH,et al.Total h ip arthroplasty in patientsw ith ankylosing spondylitis:longterm followup[J].J Rheumatol,1995,22(9):1704-1709.
- (4)周永刚,王岩,陈继营,等.解剖型骨水泥固定股骨假体在股骨头坏死治疗中的应用[J].中国矫形外科杂志,2003,11:1597-1599.
- (5)Lehtimak i MY,Lehto MU,Kautiainen H,et al.Cham ley total h ip ar-throplasty in ankylosing spondylitis:survivorsh ip analysis of 76 patientsfollowed for 8~28 years[J].Acta O rthop Scand,2001,72(3):233-236.
- (6)Sweeney S,Gupta R,Taylor G,et al.Total h ip arthroplasty in ankylo-sing spondylitis:outcom e in 340 patients[J].J Rheumatol,2001,8(8):1862-1866.
- (7)Josh i AB,Markovic L,Hard inge K,et al.Total h ip arthroplasty in an-kylosing spondylitis:an analysis of 181 h ips[J].J Arthroplasty,2002,17(4):427-433.
- (8)Josh i AB,Porter ML,Trail LA,et al.Long-term resu lts of Charn leylow-fricton arthroplasty in young patiants[J].J Bone and Joint Surg(B r),1993,75(4):616-623.
- (9)TangWM,Ch iu KY.Primary total h ip arthroplasty in patients w ith an-kylosing spondylitis[J].J Arthroplasty,2000,15(1):52-58.
- (10)卢世璧,主译.坎贝尔骨科手术学[M].第9版,济南:山东科学技术出版社,2001,387.
- (11)Kub iak EN,Moskovich R,Errico TJ,et al.O rthopaed ic managem ent ofankylosing spondylitis[J].J Am Acad O rthop Surg,2005,13(4):267-278.
- (12)Sochart,David H,Porter,et al.Long-term resu lts of total h ip replace-m ent in young patients who had ankylosing spondylitis:eighteen toth irty-year resu lts w ith survivorsh ip analysis[J].The Journal of Boneand Joint Surgery(Am),1997,79(8):1181-1189.
- (13)B rinkerMR,Rosenberg AG,Ku ll L,et al.Primary noncem ented totalh ip arthroplasty in patients w ith ankylosing spondylitis.C lin ical andrad iograph ic resu lts at an average follow-up period of 6 years[J].JArthroplasty,1996,11(7):802-812.
- (14)Yosh itaka T,Jun ich i N,Koji I,et al.Relation between ectop ic ossifica-tion after total h ip arthroplasty and activity of general inflammntion inpatients w ith ankylosing spondylitis[J].Annals of the Rheumatic D is-ease,1998,57:634-636.