[1]王帅,张宏军△,范克杰,等.全髋关节置换术治疗强直性脊柱炎髋关节强直19例[J].中国中医骨伤科杂志,2015,23(01):14-16.
　WANG Shuai,ZHANG Hongjun,FAN Kejie,et al.Total Hip Arthroplasty Treatment for Ankylosing Spondylitis withHip Ankylosis in 19 Cases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(01):14-16.
点击复制

全髋关节置换术治疗强直性脊柱炎髋关节强直19例
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年01期
页码:
14-16
栏目:
临床研究
出版日期:
2015-01-15

文章信息/Info

Title:
Total Hip Arthroplasty Treatment for Ankylosing Spondylitis withHip Ankylosis in 19 Cases
文章编号:
1005-0205(2015)01-0014-03
作者:
王帅1; 张宏军2△; 范克杰2; 王绍辉2;
1.福建中医药大学(福州,350122)
2.河南省洛阳正骨医院
△.通讯作者 E-mail:lyzgzhj@126.com
Author(s):
WANG Shuai1; ZHANG Hongjun2; FAN Kejie2; WANG Shaohui2;
1. Fujian University of TCM, Fuzhou 350122,China
2. Luoyang Orthopaedic Hospital,Luoyang 471002,China
关键词:
强直性脊柱炎;  髋关节;  关节成形术
Keywords:
ankylosing spondylitis;  hip jiont;  arthroplasty
分类号:
R687.4
文献标志码:
A
摘要:
目的:探讨全髋关节置换治疗强直性脊柱炎的临床疗效。方法:自2009年1月-2012年12月,采用人工全髋关节置换术治疗19例30髋强直性脊柱炎髋关节直患者,其中男14例22髋,女5例8髋; 年龄20～54岁,平均33.7岁; 随访时间1.5～4年,平均2.6年。对随访患者进行Harris评分和影像学检查评估疗效。结果:髋关节Harris评分由术前(28.8±3.6)分提高至末次随访时(86.8±4.3)分; 髋关节总活动范围由术前(39.8°±4.1°)提高至术后(194.3°±5.2°).术后切口均Ⅰ期愈合,无假体感染、脱位、假体周围骨折、假体松动及下肢深静脉血栓等并发症,4例术后出现大腿疼痛,经保守治疗后好转,2例出现异位骨化,无明显临床症状,未做特殊处理。结论:全髋关节置换是治疗强直性脊柱炎髋关节强直的一种有效的方法。
Abstract:
Objective: To investigate the clinical efficacy of total hip arthroplasty in the treatment of ankylosing spondylitis. Methods: From January 2009 to December 2012,19 patients(30 hips)with ankylosing spondylitis were treated with total hip arthroplasty, including 14 males(22 hips)and 5 females(8 hips).The average age was 33.7 years(ranges from 20 to 54 years).All patients were followed up for 1.5 to 4 years, average 2.6 years. Harris scores and radiographic examination were used to assess the efficacy. Results: The hip Harris score improved from(28.8±3.6)points preoperatively to(86.8±4.3)points in the final follow-up. The total hip scope of activities improved from(39.8°±4.1°)points preoperatively to(194.3°±5.2°)points postoperatively.All incisions got I healing, no prosthesis infection, dislocation, periprosthetic fracture, loosening and deep vein thrombosis complications. 4 cases got postoperative leg pain and was cured after conservative treatment. Heterotopic ossification appeared in 2 cases and got no correspondent treatment for no obvious clinical symptoms. Conclusion: Total hip replacement is an effective method for the treatment of ankylosing spondylitis with hip ankylosis.

参考文献/References:

[1] SOCHART D H, PORTER M L. Long-term results of total hip replacement in young patients who had ankylosing spondylitis.Eighteen to thirty-year results with survivorship analysis[J].J Bone and Joint Surg Am,1997,79(8):1181-1189.
[2] 史占军,金大地,景宗森,等.强直性脊柱炎髋关节骨性强直的功能重建[J].中华骨科杂志,2002,22(5):267-271.
[3] 沈彬,裴福兴,邱贵兴,等.强直性脊柱炎的诊断与治疗骨科专家共识[J].中华骨科杂志,2012,32(9):895-898.
[4] HARRIS W H. Traumatic arthritis of the hip after dislocation and acetabular fractures:treatment by mold arthroplasty.An end-result study using a new method of result evaluation[J].J Bone Joint Surg Am,1969,51(4):737-755.
[5] BROOKER A F, BOWERMAN J W, ROBINSON R A, et al. Ectopic ossification following total hip replacement:incidence and a method of classification[J].J Bone Joint Surg Am,1973,55(8): 1629-1632.
[6] 杨佩,王春生,王坤正,等.强直性脊柱炎股骨近段形态学改变对全髋关节置换术假体选择的意义[J].中国修复重建外科杂志,2006,20(4):448-450.
[7] TANG W M, CHIU K Y. Primary total hip arthroplasty in patients with ankylosing spondylitis[J]. J Arthroplasty,2000,15(1):52-58.
[8] 陈铿,唐勇,黄霖,等.非骨水泥型全髋关节置换术治疗强直性脊柱炎髋关节病变的疗效分析[J].中华关节外科杂志(电子版),2009,3(1):59-61.
[9] 孙永强,张国永.髋关节强直双髋关节同时置换的探讨[J].中国矫形外科杂志,2008,16(3):172-174.
[11] 周胜虎,甄平,高明暄,等.髋关节置换术治疗强直性脊柱炎髋关节骨性强直[J].中华创伤杂志,2013,29(12):1159-1162.
[10] 任凯晶,于建华,李晓辉,等.全髋关节置换术治疗强直性脊柱炎严重屈髋畸形[J].中华骨科杂志,2007,27(10):721-725.
[12] 吴立东,吴锋锋,叶凯山,等.初次全髋关节置换术后异位骨化[J].中华骨科杂志,2007,27(12):910 -914.
[13] 全华山,马少云,李显澎,等.髋关节置换术后异位骨化的特征及相关因素分析[J]. 中医正骨,2013,25(1): 49-50.

备注/Memo

备注/Memo:
收稿日期:2014-06-06
更新日期/Last Update: 2015-02-20