摘要
目的探讨行全髋关节置换术（THA）治疗患者下腰痛的特点,评估THA手术对下腰痛的影响。方法分析98例行THA患者的腰椎影像学特点及下腰痛的发生率,术后随访THA患者功能恢复情况并评估其下腰痛的转归。结果 80例患者获得随访,时间3-36个月,其中64例（80%）术前合并下腰痛,术后下腰痛患者中57例明显好转,5例无好转,2例加重。下腰痛VAS评分由术前的2.85分±1.75分下降至术后的1.44分±1.24分（P〈0.01）,ODI评分由术前的32.53%±18.96%下降至17.70%±11.71%（P〈0.01）,髋关节Harris评分由术前的54.06分±11.78分上升至术后的93.88分±2.49分（P〈0.01）。结论行THA的患者中下腰痛的发生率较高,THA手术可以明显缓解下腰痛的症状,改善患者生活质量。
Objective To investigate the prevalence of low back pain（ LBP） in patients with end-stage hip diseases electing to undergo primary total hip arthroplasty（ THA）,and to evaluate the postoperative effectiveness of THA in reducing LBP. Methods A prospective cohort study of 80 patients was conducted to determine prevalence and severity of LBP among end-stage hip diseases patients undergoing THA. The pain were quantified by using VAS,and the scores of ODI and Harris hip score were measured before and after surgery. Results 80 patients got 3 - 36 months＇ follow-up,64 patients（ 80%） had LBP preoperation,57 patients were reported complete pain relief after THA,but the LBP of 5 patients were unchanged,2 patients aggravated. There were significant improvement in VAS of LBP from2. 85 ± 1. 75 before surgery to 1. 44 ± 1. 24 after surgery（ P〈0. 01）. Compared to preoperation,the ODI scores were decreased from 32. 53% ± 18. 96% to 17. 70% ± 11. 71% after surgery（ P〈0. 01）. The Harris scores were increased from 54. 06 ± 11. 78 before surgery to 93. 88 ± 2. 49 after surgery（ P〈0. 01）. Conclusions The prevalence of LBP is more common in the end-stage hip disease patients. Most patients with LBP experience resolution or improvement of their pain after THA.
出处
《临床骨科杂志》
2015年第6期679-681,共3页
Journal of Clinical Orthopaedics
关键词
关节成形术
置换
髋
下腰痛
arthroplasty
replacement
hip
lower back pain
