强直性脊椎炎髋关节晚期病变行全髋关节置换术的效果(1)
【摘要】 目的：观察强直性脊椎炎髋关节晚期病变行全髋关节置换术的临床治疗效果。方法：选取本院外科2015年1月-2017年6月收治的55例强直性脊椎炎髋关节晚期病变患者作为研究对象。所有患者均采用全髋关节置换术治疗，比较患者手术治疗前后髋关节功能评分评估临床治疗效果，患者治疗前后疼痛变化情况及有无并发症出现。结果：55例患者治愈33例，显效16例，有效5例，无效1例，治疗总有效率为98.18%(54/55)。治疗后患者的Harris单项评分及总分显著高于治疗前，差异均有统计学意义(P<0.05)。结论：对强直性脊椎炎髋关节晚期病变患者临床实施全髋关节置换术治疗，术后髋关节功能得到显著改善，减轻患者的疼痛，无并发症发生，临床应用前景广泛。
【关键词】 强直性脊椎炎； 髋关节晚期病变； 全髋关节置换术
Ankylosing Spondylitis Hip Advanced Lesions Undergoing Total Hip Replacement Effect/LIANG Hai，LIU Sheng.//Medical Innovation of China，2018，15(07)：053-055
, 百拇医药
【Abstract】 Objective：To observe the clinical effect of the treatment of ankylosing spondylitis hip advanced lesions underwent total hip replacement.Method：55 cases of ankylosing spondylitis with advanced hip joint lesions in our hospital were selected as the objects from January 2015 to June 2017.All patients were treated with total hip replacement surgery treatment，the clinical treatment effect before and after the treatment of hip joint function score，pain changes before and after treatment in patients with and without complications were compared.Result：55 cases were cured in 33 cases，markedly effective in 16 cases，effective in 5 cases，1 case，the total effective rate was 98.18% (54/55).The Harris single score and total score of the patients after treatment were significantly higher than those before treatment(P<0.05).The pain was significantly improved after treatment(P<0.05).Conclusion：The implementation of total hip replacement in the treatment of ankylosing spondylitis hip joint lesions in patients with clinical stage，significantly improve the hip joint function after operation，reduce the pain of patients，no complications，wide clinical application prospects.
, 百拇医药
【Key words】 Ankylosing spondylitis； Hip joint late lesion； Total hip replacement
First-author’s address：Tangxia Hospital of Dongguan，Dongguan 523721，China
doi：10.3969/j.issn.1674-4985.2018.07.015
當今社会人民群众的日常生活习惯及工作强度的变化，强直性脊柱炎导致髋关节病患者日益增多，严重影响患者的日常生活质量[1]。临床治疗强直性脊柱炎髋关节病的首选方法为手术治疗，全髋关节置换术通过对患者受累髋关节采用人工假体置换的方法来达到修复患者其正常关节活动能力的目的[1]。本院从2015年1月开始强直性脊椎炎髋关节晚期病变行全髋关节置换术的临床治疗效果，现报道如下。
, 百拇医药
1 资料与方法
1.1 一般资料 选取本院外科2015年1月-2017年6月收治的55例强直性脊椎炎髋关节晚期病变患者作为研究对象。纳入标准：所有患者均符合强直性脊椎炎髋关节晚期病变的临床诊断标准[2]。排除标准：严重肾肝功能疾病者、恶性肿瘤患者及其他影响本次研究结果的病例。患者男33例，女22例；年龄16～50岁，平均(42.18±8.60)岁；病变位置：双侧髋关节33例，单侧髋关节22例；Harris评分30～52分，平均(41.51±10.28)分；经X线检测，髋关节间隙消失，髋臼骨质周边骨质疏松，Bath强直性脊椎炎髋关节异常X线分级：Ⅲ级16例，Ⅳ级39例。上述患者临床表现为髋关节活动受限，疼痛感。患者入组研究前签署知情同意书，本次研究内容报院伦理委员批准，入组病例符合实验要求。, 百拇医药(梁海 刘胜)
【关键词】 强直性脊椎炎； 髋关节晚期病变； 全髋关节置换术
Ankylosing Spondylitis Hip Advanced Lesions Undergoing Total Hip Replacement Effect/LIANG Hai，LIU Sheng.//Medical Innovation of China，2018，15(07)：053-055
, 百拇医药
【Abstract】 Objective：To observe the clinical effect of the treatment of ankylosing spondylitis hip advanced lesions underwent total hip replacement.Method：55 cases of ankylosing spondylitis with advanced hip joint lesions in our hospital were selected as the objects from January 2015 to June 2017.All patients were treated with total hip replacement surgery treatment，the clinical treatment effect before and after the treatment of hip joint function score，pain changes before and after treatment in patients with and without complications were compared.Result：55 cases were cured in 33 cases，markedly effective in 16 cases，effective in 5 cases，1 case，the total effective rate was 98.18% (54/55).The Harris single score and total score of the patients after treatment were significantly higher than those before treatment(P<0.05).The pain was significantly improved after treatment(P<0.05).Conclusion：The implementation of total hip replacement in the treatment of ankylosing spondylitis hip joint lesions in patients with clinical stage，significantly improve the hip joint function after operation，reduce the pain of patients，no complications，wide clinical application prospects.
, 百拇医药
【Key words】 Ankylosing spondylitis； Hip joint late lesion； Total hip replacement
First-author’s address：Tangxia Hospital of Dongguan，Dongguan 523721，China
doi：10.3969/j.issn.1674-4985.2018.07.015
當今社会人民群众的日常生活习惯及工作强度的变化，强直性脊柱炎导致髋关节病患者日益增多，严重影响患者的日常生活质量[1]。临床治疗强直性脊柱炎髋关节病的首选方法为手术治疗，全髋关节置换术通过对患者受累髋关节采用人工假体置换的方法来达到修复患者其正常关节活动能力的目的[1]。本院从2015年1月开始强直性脊椎炎髋关节晚期病变行全髋关节置换术的临床治疗效果，现报道如下。
, 百拇医药
1 资料与方法
1.1 一般资料 选取本院外科2015年1月-2017年6月收治的55例强直性脊椎炎髋关节晚期病变患者作为研究对象。纳入标准：所有患者均符合强直性脊椎炎髋关节晚期病变的临床诊断标准[2]。排除标准：严重肾肝功能疾病者、恶性肿瘤患者及其他影响本次研究结果的病例。患者男33例，女22例；年龄16～50岁，平均(42.18±8.60)岁；病变位置：双侧髋关节33例，单侧髋关节22例；Harris评分30～52分，平均(41.51±10.28)分；经X线检测，髋关节间隙消失，髋臼骨质周边骨质疏松，Bath强直性脊椎炎髋关节异常X线分级：Ⅲ级16例，Ⅳ级39例。上述患者临床表现为髋关节活动受限，疼痛感。患者入组研究前签署知情同意书，本次研究内容报院伦理委员批准，入组病例符合实验要求。, 百拇医药(梁海 刘胜)