本文選題：髖脫位 + 先天性　； 參考：《吉林大學》2012年碩士論文

【摘要】：目的:回顧性比較單純Pemberton髖臼成形術與聯(lián)合股骨粗隆下旋轉縮短截骨手術治療發(fā)育性髖關節(jié)脫位的臨床療效。 資料與方法:2004年1月至2009年1月,對采用單純Pemberton髖臼成形術或Pemberton髖臼成形術聯(lián)合股骨粗隆下旋轉縮短截骨手術治療且獲隨訪的141例發(fā)育性髖關節(jié)脫位患者的資料進行回顧性分析,其中57例采用單純Pemberton髖臼成形術治療(單純髖臼成形手術組),男12例,女45例，年齡3~8歲；84例用Pemberton髖臼成形術聯(lián)合股骨粗隆下旋轉縮短截骨手術治療(聯(lián)合手術組)，男15例，女69例，年齡4~9歲。比較2組術后并發(fā)癥及術后2年進行Severin放射學評價，并采用Mckay臨床評定標準評價2組療效。 結果:單純髖臼成形手術組患者隨訪30～52個月，平均38個月；聯(lián)合手術組患者隨訪32～51個月，平均37個月。單純髖臼成形手術組7例再脫位,4例股骨頭壞死，5例關節(jié)僵硬；聯(lián)合手術組無再脫位、股骨頭壞死、患肢縮短，2例關節(jié)僵硬。術后２年McKay臨床療效評定結果：單純髖臼成形手術組優(yōu)27髖，良18髖，可12髖；聯(lián)合手術組優(yōu)52髖，良25髖，可7髖。聯(lián)合手術組療效優(yōu)于單純髖臼成形手術組。Severin X線評定標準結果：單純髖臼成形手術組優(yōu)27髖，良15髖，可15髖；聯(lián)合手術組優(yōu)53髖，良22髖，可9髖。聯(lián)合手術組優(yōu)于單純髖臼成形手術組。 結論:與單純髖臼成形手術相比,聯(lián)合手術治療發(fā)育性髖關節(jié)脫位在術后減少嚴重并發(fā)癥及功能恢復方面有明顯優(yōu)勢。聯(lián)合手術組患者對術后綜合結果更為滿意。
[Abstract]:Objective: to retrospectively compare the clinical effect of Pemberton acetabular arthroplasty combined with subtrochanteric rotation shortening osteotomy in the treatment of developmental dislocation of hip. Information and methods: January 2004 to January 2009, The data of 141 patients with developmental dislocation of hip treated by Pemberton acetabular plasty or Pemberton acetabular arthroplasty combined with subtrochanteric rotation shortening osteotomy were retrospectively analyzed. 57 cases were treated with simple Pemberton acetabular plasty (simple acetabular arthroplasty group, 12 males, 45 females, aged 3 or 8 years, 84 patients were treated with Pemberton acetabular arthroplasty combined with subtrochanteric rotation shortening osteotomy) (combined operation group, 15 cases, male, 15 cases). 69 females, aged 4 to 9 years. The postoperative complications and Severin radiologic evaluation were compared between the two groups, and the clinical evaluation criteria of Mckay were used to evaluate the efficacy of the two groups. Results: the patients in the simple acetabular arthroplasty group were followed up for 30 ~ 52 months (mean 38 months) and the combined operation group for 32 ~ 51 months (mean 37 months). In the simple acetabular arthroplasty group, there were 7 cases of redislocation and 4 cases of osteonecrosis of femoral head and 5 cases of joint stiffness, while in the combined operation group, there was no redislocation, necrosis of the femoral head, and joint stiffness in 2 cases. 2 years after operation, the clinical efficacy of McKay was evaluated as follows: 27 hips were excellent, 18 hips were good, 12 hips were fair in simple acetabular arthroplasty group, 52 hips were excellent, 25 hips were good and 7 hips were fair in combined operation group. The curative effect of combined operation group was better than that of simple acetabular arthroplasty group. Results: 27 hips were excellent, 15 hips were good, 15 hips were fair in simple acetabular arthroplasty group, 53 hips were excellent, 22 hips were good and 9 hips were fair in combined operation group. The combined operation group was superior to the simple acetabular plasty group. Conclusion: compared with simple acetabular arthroplasty, combined operation for developmental dislocation of hip has obvious advantages in reducing serious complications and functional recovery. The patients in the combined operation group were more satisfied with the comprehensive results.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R726.8

【參考文獻】

相關期刊論文 前8條

1 胡志勇;徐勇強;梁捷予;李康華;廖前德;;外展支具配合學步車治療發(fā)育性髖關節(jié)脫位的療效評價[J];中南大學學報(醫(yī)學版);2009年07期

2 胡懿惷;周天健;劉華;李康華;雷光華;;人工全髖關節(jié)置換治療發(fā)育性髖發(fā)育不良繼發(fā)晚期骨關節(jié)炎[J];中南大學學報(醫(yī)學版);2009年11期

3 倪慶賓;髖臼的正常發(fā)育及發(fā)育性髖關節(jié)脫位的病理形態(tài)學變化[J];臨床小兒外科雜志;2002年02期

4 馬強;姜海;梁曉軍;苗武勝;周梅芬;;髖臼成形術并股骨近端旋轉截骨治療小兒發(fā)育性髖關節(jié)脫位[J];臨床小兒外科雜志;2006年02期

5 張志群;樓躍;唐凱;夏榕圻;范毓華;潘新華;黃祿基;林剛;;Pemberton關節(jié)囊周圍髂骨截骨術治療兒童發(fā)育性髖關節(jié)脫位[J];南京醫(yī)科大學學報(自然科學版);2006年11期

6 宋亞梅;;發(fā)育性髖關節(jié)脫位的研究[J];中國傷殘醫(yī)學;2010年06期

7 吳鐵男;郭宏鈺;張云飛;;Pemberton髖臼成形術治療發(fā)育性髖關節(jié)脫位[J];中國骨傷;2008年09期

8 沈品泉;張菁;陳s，

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