| 周海兵,罗志军,陈庆军,江开明.强直性脊柱炎应用人工全髋关节置换术治疗的中期、远期疗效研究[J].浙江中西医结合杂志,2018,28(11): |
| 强直性脊柱炎应用人工全髋关节置换术治疗的中期、远期疗效研究 |
| Mid-term and long-term effects of total hip arthroplasty in treatment of ankylosing spondylitis |
| 投稿时间：2018-01-24 修订日期：2018-07-20 |
| DOI： |
| 中文关键词: 强直性脊柱炎 人工全髋关节置换术 中期 远期 Harris评分 |
| 英文关键词:Ankylosing spondylitis Total hip arthroplasty Mid-term Long-term Harris score |
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| 中文摘要: |
| 【】目的：探讨人工全髋关节置换术治疗强直性脊柱炎的中期与远期疗效。方法：选择我院2014年10月-2017年10月收治的强直性脊柱炎患者66例作为研究对象,入组对象有完整临床资料,愿意配合本研究且签署知情同意书,按照随机数表法分为手术组与理疗组,每组33例患者,理疗组患者接受常规理疗方案治疗,手术组患者接受人工全髋关节置换术治疗。均随访半年以上,测定两组患者治疗前、治疗后、随访1个月、随访半年时髋关节屈曲畸形程度、髋关节活动度、髋关节Harris评分,评价治疗前与治疗后疼痛情况,记录随访半年不良反应情况,采取统计学分析。结果：两组患者治疗前髋关节屈曲畸形程度、髋关节活动度比较差异不显著(P>0.05),治疗后、随访1个月、随访半年时手术组显著优于理疗组(P<0.05)；两组患者治疗前Harris评分上差异不明显(P>0.05),治疗后、随访1个月、随访半年时手术组显著优于理疗组(P<0.05)；两组患者治疗前疼痛比较无差异(P>0.05),治疗后手术组疼痛明显轻于理疗组(P<0.05)；两组患者随访半年均有不良反应,但组间比较差异无统计学意义(P>0.05)。结论：强直性脊柱炎患者采取人工全髋关节置换术治疗可以更好地改善患者的中期与远期疗效,使得髋关节功能恢复更好,且安全性高,值得推广应用。 |
| 英文摘要: |
| 【】 Objective: To investigate the effect of total hip arthroplasty in the treatment of ankylosing spondylitis in the medium and long term. Methods: Sixty-six patients with ankylosing spondylitis who were admitted to our hospital from October 2014 to October 2017 were enrolled in this study. All patients were enrolled in the study. The patients were willing to cooperate with the study and sign the informed consent form. According to the random number table Divided into operation group and physical therapy group, each group of 33 patients, physical therapy group received routine physical therapy treatment, surgical patients undergoing total hip arthroplasty. All patients were followed up for more than six months. The preoperative, postoperative treatment, 1 month follow-up, degree of hip flexion, hip mobility and hip joint Harris score at 6 months follow-up were recorded. Six months of adverse reactions, take a statistical analysis. Results: There was no significant difference in flexion and hip mobility between the two groups before treatment (P> 0.05). After one month of follow-up, the surgery group was significantly better than the physiotherapy group (P <0.05) ; Harris score was not significantly different between the two groups before treatment (P> 0.05). After treatment, 1 month follow-up, the operation group was significantly better than the physiotherapy group at 6 months follow-up (P <0.05) (P> 0.05). After operation, the pain in operation group was lighter than that in physical therapy group (P <0.05). There was adverse reaction in both groups after 6 months of follow-up, but there was no significant difference between the two groups (P> 0.05). Conclusion: The treatment of patients with ankylosing spondylitis by total hip arthroplasty can better improve the long-term and long-term efficacy of patients, make the hip joint function recovery better, and the safety is high, it is worth popularizing and applying. |
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