【摘要】：背景:人工髖關(guān)節(jié)置換不僅病因復(fù)雜,而且其發(fā)病與性別、年齡關(guān)系密切。目的:分析合肥地區(qū)行人工髖關(guān)節(jié)置換患者的病因組成及其在性別、年齡及發(fā)病趨勢(shì)上的分布特點(diǎn),以期提高對(duì)影響髖關(guān)節(jié)健康的疾病及易感因素進(jìn)行早期篩查及預(yù)防。方法:對(duì)2008-01/2013-12在合肥地區(qū)五所醫(yī)院的3 056例行人工髖關(guān)節(jié)置換患者行回顧性分析,按照出院診斷分成11類,統(tǒng)計(jì)其年齡和性別構(gòu)成比。并將年齡和性別構(gòu)成比進(jìn)行卡方檢驗(yàn),P0.05則差異有顯著意義。結(jié)果:在3 056例行人工髖關(guān)節(jié)置換患者中,髖部骨折1 763例(56.78%),股骨頭缺血性壞死545例(17.55%),原發(fā)性骨性關(guān)節(jié)炎461例(14.85%),先天性髖關(guān)節(jié)發(fā)育不良196例(6.31%),類風(fēng)濕性關(guān)節(jié)炎35例(1.13%),強(qiáng)直性脊柱炎10例(0.32%),創(chuàng)傷性關(guān)節(jié)炎26例(0.84%),感染性關(guān)節(jié)炎12例(0.39%),髖部腫瘤4例(0.13%),骨纖維性發(fā)育不良3例(0.097%),大骨節(jié)病1例(0.032%)。50歲以上患者數(shù)量明顯高于50歲以下(包括50歲)(χ2=12.7,P0.05)。女性患者數(shù)量高于男性(χ2=61.07,P0.05)。結(jié)論:合肥地區(qū)行人工髖關(guān)節(jié)置換患者病因復(fù)雜,髖部骨折,股骨頭缺血性壞死和原發(fā)性髖關(guān)節(jié)炎是其主要病因,以50歲以上患者為主,女性所占比例高于男性。
[Abstract]:Background: hip replacement is not only complicated in etiology, but also closely related to sex and age. Objective: to analyze the etiological factors of patients undergoing hip arthroplasty in Hefei and their distribution in sex, age and incidence trend, in order to improve the early screening and prevention of diseases and predisposing factors affecting hip joint health. Methods: a retrospective analysis was performed on 3 056 patients with artificial hip replacement in 5 hospitals of Hefei from January to December in 2008 to December 2013. According to the diagnosis of discharge, the patients were divided into 11 categories, and their age and sex composition ratio were analyzed. And the age and sex composition of the chi-square test, P0.05, there was a significant difference. Results: among 3 056 patients with artificial hip replacement, 1,763 cases (56.78%) had hip fracture, 545 cases (17.55%) had avascular necrosis of femoral head, 461 cases (14.85%) had primary osteoarthritis. There were 196 cases of congenital dysplasia of hip (6.31%), 35 cases of rheumatoid arthritis (1.13%), 10 cases of ankylosing spondylitis (0.32%) and 26 cases of traumatic arthritis (0.84%). 12 cases (0.39%) of infectious arthritis, 4 cases (0.13%) of hip tumors, 3 cases (0.097%) of fibrous dysplasia of bone. One case (0.032%) of Kaschin-Beck disease (KBD). The number of patients over 50 years old was significantly higher than that under 50 years old (including 50 years old) (蠂 2 12.7P 0.05). The number of female patients was higher than that of male patients (蠂 2: 61.07 P 0.05). Conclusion: the etiology of patients undergoing artificial hip replacement in Hefei is complicated. Hip fracture, avascular necrosis of femoral head and primary hip arthritis are the main causes. The proportion of female is higher than that of male.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R687.4

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本文編號(hào)：2330553