本文選題：髖臼 + 骨重建��； 參考：《中國組織工程研究》2017年31期

【摘要】：背景:髖臼發(fā)育不良是臨床中常見髖關(guān)節(jié)疾病,可能引起患者髖關(guān)節(jié)的生物力學(xué)平衡受到破壞,加速髖關(guān)節(jié)機(jī)械磨損,可能誘發(fā)髖關(guān)節(jié)骨關(guān)節(jié)炎。人工全髖關(guān)節(jié)置換是現(xiàn)階段治療的首選手段。目的:探討髖臼結(jié)構(gòu)性植骨重建全髖關(guān)節(jié)置換對髖臼發(fā)育不良伴骨關(guān)節(jié)炎患者的臨床應(yīng)用效果。方法:50例髖臼發(fā)育不良伴骨性關(guān)節(jié)炎患者,依照Crowe標(biāo)準(zhǔn),分為CroweⅠ型11例、CroweⅡ型16例、CroweⅢ型19例、CroweⅣ型4例,均采用髖臼結(jié)構(gòu)性植骨重建全髖關(guān)節(jié)置換治療;治療前及治療結(jié)束后6個月時觀察并記錄患者疼痛及功能恢復(fù)情況、Harris髖關(guān)節(jié)功能評分、生活質(zhì)量評價。結(jié)果與結(jié)論:(1)治療后CroweⅠ型、CroweⅡ型、CroweⅢ型、CroweⅣ型患者Harris評分均顯著升高(P0.05);(2)治療后所有患者疼痛及行走情況均顯著改善(P0.05);(3)治療后患者生理機(jī)能、生理職能、軀體疼痛、健康狀況、精力、社會功能、情感職能及精神健康等生活質(zhì)量有明顯改善(P0.05);(4)結(jié)果說明,采用髖臼結(jié)構(gòu)性植骨重建全髖關(guān)節(jié)置換髖臼發(fā)育不良伴骨關(guān)節(jié)炎,可使得髖臼杯放置更為合理,提供更好的髖臼假體支撐,恢復(fù)下肢長度并增加髖臼骨量,并對改善患者疼痛及髖關(guān)節(jié)功能,提高患者生活質(zhì)量具有較好的臨床療效。
[Abstract]:Background: acetabular dysplasia is a common hip disease in clinic which may lead to the destruction of the biomechanical balance of the hip joint accelerate mechanical wear of the hip joint and may induce osteoarthritis of the hip joint. Total hip replacement is the first choice of treatment at the present stage. Objective: to investigate the clinical effect of acetabular structural bone graft reconstruction total hip replacement in patients with acetabular dysplasia and osteoarthritis. Methods according to Crowe criteria, 50 cases of acetabular dysplasia with osteoarthritis were divided into 11 cases of Crowe type 鈪，

本文編號：1867331