人工髋关节翻修病人假体周围骨密度的变化Changes of bone mineral density of the proximal femur in patients with revision total hip arthroplasty
俞银贤;马金忠;朱力波;王建东;桑伟林;
摘要(Abstract):
[目的]使用双能X线骨密度仪(DEXA)测量9例人工髋关节翻修病人股骨近端假体周围骨密度,了解人工髋关节翻修病人假体周围骨丢失情况。[方法]因假体松动而接受初次人工全髋关节翻修手术病人9例,用双能X线骨密度仪(DEXA)对比测量双侧股骨近端骨密度,测量区域的划分采用Gruen七区法。术前临床评估以Harris髋关节评分(HHS)为标准。[结果]9例病人HHS评分61分,DEXA测量结果发现所有病人手术侧骨密度较非手术侧均出现明显下降,范围在8.9%~27.6%,平均15.4%,下降有统计学意义(P<0.05)。[结论]人工髋关节置换术后早中期失败的病人,股骨近端假体周围骨丢失明显。
关键词(KeyWords): 人工髋关节翻修术;骨丢失;骨密度;双能X线骨密度仪
基金项目(Foundation):
作者(Author): 俞银贤;马金忠;朱力波;王建东;桑伟林;
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参考文献(References):
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