对髋关节发育不良和特发性骨关节病患者治疗方法的比较分析

Denys Yurchenko, Fedor Klymovytskyi, L.D. Goncharova, O. Tiazhelov, O. Karpinska
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引用次数: 0

摘要

髋关节置换术是缓解患者疼痛、恢复髋关节活动和改善患肢功能的一种可靠而快速的方法,但这种干预措施对发育不良性或特发性髋关节病的效果如何还需要进一步研究。本研究的目的是评估特发性和发育不良性髋关节病患者的治疗效果,以及内固定对骨盆肌肉工作的影响。研究方法对121名患者的治疗进行了比较分析,这些患者被分为两组--发育不良性髋关节症患者(63名)和特发性髋关节症患者(58名)。根据哈里斯量表、稳定性研究数据和骨盆腰部肌肉工作评估结果对治疗的功能效果进行了研究,骨盆腰部肌肉负责维持骨盆的水平衡。结果总的来说,两组患者的内窥镜检查结果都很好。同时,特发性髋关节病患者组的平均结果(t = 2.08;p = 0.001)明显优于发育不良性髋关节病患者组。然而,在大多数情况下,确保骨盆水平平衡的肌肉指标在假体植入术后 6-8 个月内仍会下降。临床数据和统计研究数据都证明了这一点。结论髋关节内假体是治疗髋关节病的有效方法,可显著改善患者的支撑和运动功能,提高其生活质量。根据哈里斯评分标准,病理型髋关节病患者的治疗效果明显优于发育不良型髋关节病患者。但在大多数情况下,两组患者的骨盆腰部肌肉性能指标在假体内固定手术后6-8个月内仍有所下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COMPARATIVE ANALYSIS OF THE TREATMENT OF PATIENTS WITH DYSPLASTIC AND IDIOPATHIC OSTEOARTHROSIS OF THE HIP JOINT
Hip arthroplasty is a reliable and quick way to relieve the patient of pain, restore movement in the hip joint and improve the function of the affected limb, but the question of how effective this intervention is in dysplastic or idiopathic coxarthrosis requires further study. The objective of the study was to evaluatethe effectiveness of treatment of patients with idiopathic and dysplastic coxarthrosis, and the effect of endoprosthetics on the work of the pelvic muscles. Methods. A comparative analysis of the treatment of 121 patients was conducted, which were divided into two groups — with dysplastic coxarthrosis(63 patients) and with idiopathic coxarthrosis (58 patients). The functional results of the treatment were studied according to the Harris scale, the data of stabilographic studies and the evaluation of the work of the muscles of the pelvic girdle, which are responsible for maintaining the horizontal balanceof the pelvis. Results. In general, the results of endopros thesis were evaluated as good in both groups. At the same time, the average results in the group of patients with idiopathic coxarthrosis are significantly better (t = 2.08; p = 0.001) than in the group of patients with dysplastic coxarthrosis. However, the indicators of the muscles that ensure the horizontal balance of the pelvis, in most cases, remain reduced within 6–8 months after the endoprosthesisoperation. This is evidenced by clinical data and statistical research data. Conclusions. Endoprosthesis of the hip joint is an effective method of coxarthrosis and allows to significantly improve both the patientʼs support and kinematic function and his quality of life. The results of treatment of patients withidiopathic coxarthrosis according to the Harris scoring scale are significantly better than the results of treatment of patients with dysplastic coxarthrosis. But the performance indicators of the muscles of the pelvic girdle, in most cases remain reduced within 6–8 months after endoprosthesis surgery in patientsof both groups.
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