摘要
目的 :总结强直性脊柱炎驼背合并屈髋畸形的矫治经验。方法 :回顾 6 0 0例驼背矫治 ,对其中 5 6例合并屈髋强直行人工髋关节置换者 ,平均作 4 8个月随访 ,根据其术后驼背改善程度及髋关节置换后效果进行评估。结果 :先换髋后矫治驼背与单独矫治驼背比较 ,不影响驼背矫正度的改变 ,髋关节效果根据CHARLEY和吴之康标准评定 ,无痛及轻度痛占随访关节的 93.2 % ,活动范围增大 ,步行功能较术前改善。结论 :对驼背合并屈髋强直畸形病例 ,先矫髋 ,后矫驼背更为合理 ,人工全髋置换效果基本与文献报道相符。
Objective: To explore the management of lordosis with flexible hip joint stiffness in ankylosing spondylitis patients. Methods: Of the 600 cases of operative correction of ankylosing spondylitis, 56 were also treated with total hip replacement. After 48 months(average) follow up visit, evaluation was made upon the effectiveness of spinal correction and total hip replacement. Results: Total hip replacement made before spinal correction did not affect the correction degree of spine. Results of total hip replacement were analyzed according to Charley and WU Zhi kang′s criteria. 93.2% patient felt no pain or minor pain in hip joints. Movement range after the hip operation was increased. Walking function was improved. Conclusion: When managing lordosis of ankylosing spondylitis with hip joint stiffness, the total hip replacement should be made first and spinal lordosis correction second.
出处
《海军医学杂志》
2003年第2期127-129,共3页
Journal of Navy Medicine
关键词
强直性脊柱炎
髋关节置换
驼背
ankylosing spondylitis
total hip replacement
lordosis
