全髋关节置换术治疗脊髓灰质炎后遗髋关节疾病
史黎晗;易敏;罗月;赵海燕;热勒肯·叶尓生;康鹏德;
摘要(Abstract)：
[目的]评价全髋关节置换术治疗脊髓灰质炎后遗症期患者髋关节疾病的临床疗效。[方法]回顾性分析2008年1月～2018年5月四川大学华西医院关节外科应用全髋关节置换术治疗的脊髓灰质炎后遗症期髋关节病变13例(13髋),对比术前及随访时Harris髋关节功能评分、UCLA活动能力评分、SF-12生命质量评分,分析影像学结果,记录人工关节脱位、假体松动等相关并发症。[结果] 13例13髋均获得随访,平均随访时间(5.63±0.77)年(2～9年),患者患侧髋关节外展角度较术前显著增加,差异有统计学意义(P<0.05);随访时患侧髋关节屈曲角度较术前增加,但差异无统计学意义(P>0.05);随访时Harris评分、UCLA活动能力评分、SF-12生活质量评分PCS、MCS均较术前增加,差异均有统计学意义(P<0.05);13髋影像学资料均显示假体稳定性良好,无脱位、假体松动及下沉。[结论]全髋关节置换术可以改善脊髓灰质炎后遗症期髋关节病变患者关节功能,提高生活质量,经合理的术前评估、正确的术中处理及科学的术后功能锻炼,患者能够取得较好的临床疗效。
关键词(KeyWords)： 脊髓灰质炎后遗症期;全髋关节置换术;临床疗效
基金项目(Foundation):
作者(Author): 史黎晗;易敏;罗月;赵海燕;热勒肯·叶尓生;康鹏德;
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