股骨头坏死患者行人工全髋关节置换术后早期功能恢复的效果观察

摘要

Objective To observe the early function recovery effect of patients with femoral necrosis after total hip replacement (THR).Methods From 1994 to 2012,180 cases were selected and divided into two groups.Control group included 90 cases using cementless bipolar hemiarthroplasty and experiment group included 90 cases using THR.Results The Barthel scores before and after treatment of control group were (38.1 ± 8.8) and (61.5 ± 11.9) respectively.While the scores of experiment group were (36.4 ± 9.2) and (83.5 ±15.2) respectively.The Harris scores before and after treatment of control group were (42.3 ± 10.8) and (72.3 ±21.9).The scores of experiment group were (41.8 ± 11.5) and (89.6 ± 25.3).The Barthel and Harris scores after treatment of experiment group were higher than those of control group.There was statistical significant difference between scores of two groups (P＜ 0.05).Conclusions THR can improve the patients' activity of daily living and also can promote recovery of their hip function.It has clinical significance to be popularized.%目的 观察行人工全髋关节置换术后的股骨头坏死患者早期关节功能的恢复效果.方法 回顾性分析我院1994年至2012年收治的180例股骨头坏死患者,分为对照组和实验组.对照组90例,均采用双极人工股骨头置换,实验组90例,均采用人工全髋关节置换术.结果 对照组手术前Barthel评分(38.1±8.8),手术后(61.5±11.9),实验组手术前Barthel评分(36.4±9.2),手术后(83.5±15.2).对照组手术前Harris评分(42.3±10.8),手术后(72.3±21.9),实验组手术前Harris评分(41.8±11.5),手术后(89.6±25.3),实验组手术后Barthel评分、Harris评分均大于对照组,差异有显著性(P＜0.05).结论 采用行人工全髋关节置换术治疗股骨头坏死可以帮助患者提高日常生活能力,恢复髋关节功能,在临床上具有推广意义.