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THA在强直性脊柱炎髋关节受累强直治疗中的应用 被引量:11

Effect of total hip arthroplasty in ankylosing spondylitis with tetanic deformity of the hip
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摘要 目的探讨强直性脊柱炎患者髋关节受累强直时实行人工全髋关节置换的方法和疗效。方法对9例强直性脊柱炎双髋受累患者全部行双侧人工全髋关节置换术(2例使用骨水泥型假体,7例使用生物型假体)。术后系统康复训练,随访观察6~26个月(平均18个月),Harris评分进行术后临床评定,X线检查观察假体有无松动、脱住及异住骨化等。结杲术后髋关节活动度明显改善,屈曲畸形基本矫正。根据术后X线评定均未出现假体脱位、松动、折断。最近一次Harris评分59~90分(平均76.4分)。结论人工全髋关节置换术是治疗强直性脊柱炎髋关节受累强直的有效方法。 Objective To explore the effect of total hip aIthroplasty (THAt) in patients with ankylosing spondylitis (AS). Methods 9 patients with AS underwent total hip aIthroplasty on both lateral hips at the same time with a lateral incision( bone cement prosthesis was used in 2 patients and no cement prosthesis in 7 patients), after the operations they received systemic healing exercises and were followed up for 6 to 26 (mean 18) months. The Harris grade system and X-ray examination were used to evaluate the curative effects. Results The post-operational movement range was significantly improved, and all of the flexion deformities were nearly rectified. According to their X-rays, there were also no dislocations, aseptic loosening or fractures of the prosthesis. The recent Harris hip scores of these patients after THA were 59 to 90 and the average scores was 76.4. Conclusion THA is effective in treating patients with ankylosing spondyhtis.
出处 《山东大学学报(医学版)》 CAS 北大核心 2008年第2期192-195,199,共5页 Journal of Shandong University:Health Sciences
关键词 全髋关节置换术 强直性脊柱炎 髋关节强直 Total hip arthroplasty Ankylosing spondylitis Rigidity of hip joint
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  • 1Mackay K, Brophy S, Mack C, et al. The development and vaadation of a radiographic grading systemfor the hip in ankylosing spondylitis :the both ankylosing spondylitis radiology hip index[J]. J Rheumatol, 2000, 27(12):2866-2872.
  • 2Amor B, Santos R S, Nahal R, et al. Predictire factors for the long term outcome of spondy coarthropathies[J]. J Reumatol, 1994, 21(10) : 1883-1888.
  • 3袁国华,郭军华,施桂英.强直性脊柱炎髋关节病变的危险因素[J].中华风湿病学杂志,1998,2(4):192-195. 被引量:33
  • 4Lehtimaki M Y, Lehto M U, Kautiainen H, et al. Charnley total hip arthroplasty in ankylosing spondylitis: survivorship analysis of 76 patients followed for 8-28 years [ J ]. Acta Orthop Scand, 2001, 72(3):233-236.
  • 5Hirakawa K, Mitsugi N, Koshino T, et al. Effect of acetabular cup position and orientation in cemented total hip arthroplasty [J]. Clin Orthop, 2001(388) : 135-142.
  • 6廉永云,裴福兴,杨静,沈彬,周宗科.强直性脊柱炎的人工全髋关节置换术(附18例/31髋中期随访分析)[J].中国矫形外科杂志,2004,12(21):1623-1626. 被引量:27
  • 7高梁斌,徐海荣.脊柱后凸畸形矫正的生物力学分析[J].中华外科杂志,1991,29(8):477-478. 被引量:20
  • 8Autl B J, Ljubisa M, Kevin H, et al. Total hip arthroplasty in ankylosing spondyhtis: An analysis of 181 hips[J]. J Arthroplasty, 2002, 17(4):427-431.
  • 9Mossa H, Luc K, Alain M, et al. Total hip arthroplasty for the treatment of ankylosed hips: A five to twenty-one-year follow- up study[J]. J Bone and Joint Surg, 2001, 83-A(7):992- 998.
  • 10任凯晶,高志国.强直性脊柱炎全髋人工关节置换术临床效果观察[J].天津医药,2002,30(1):23-25. 被引量:1

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