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頁籤選單縮合
題 名 | Hip Arthroplasty for Osteonecrosis in Patients with Systemic Lupus Erythematosus=全身性紅瘢性狼瘡病人股骨頭壞死之髖關節置換手術 |
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作 者 | 陳銀旺; 張瑞根; 黃冠諭; 林高田; 林森源; 黃兆永; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 15:12 1999.12[民88.12] |
頁 次 | 頁697-703 |
分類號 | 416.61 |
關鍵詞 | 全身性紅瘢性狼瘡; 股骨頭壞死; 髖關節置換手術; Osteonecrosis; SLE; Hip arthroplasty; |
語 文 | 英文(English) |
中文摘要 | 有23位全身性紅瘢性狼瘡病人,因股骨頭壞死,共37個髖關節接受人工關節置換術,包含有19個半套雙極性人工髖關節 (BH),及18個全人工髖關節 (THA),從1984年7月到1996 年7月於本院完成手術。這些病人以回溯性的比較BH與THA的結果,其中一位病人接受右側THA及左側BH於術後一年死亡,不列入這個報告中,接受BH及THA這兩組病人中再以術前骨壞死的程度已Ficat的方法分類。平均追蹤時間在THA組為44.5個月 (24∼85月),在BH組為70.2個月 (24∼119月)。BH組和THA組的術前平均Harris功能評分分別是56.7 ± 1.09和50.7 ± 1.29,而術後最後追蹤的BH組為81.9 ± 4.37,THA組為95.5 ± 0.79。THA組的臨床成組比BH組好,但是在BH組中,那些術前骨壞死程度在Ficat Ⅱ的病人成績則和THA組的一樣好。BH組中有4個則分別在術後39月至113月(平均63.2月)時因髖臼軟骨磨損或嚴重鼠蹊部疼痛,接受改換成THA的手術。BH組的失敗率 27.8%(5/18),而THA組則沒有鬆脫或須再手術置換的病人。 雖然兩組追蹤的時間不同,但是在臨床的成績上,THA組有明顯優於BH組,尤其是當股骨頭已經崩塌時。考慮到全身性紅瘢性狼瘡病人較短的預期生命,我們支持股骨頭壞死在這些病人身上,實行THA比BH合適,但在股骨頭部尚未崩塌之時,則BH的治療效果與THA一樣好,因此BH仍不失為股骨頭崩塌前之一良好治療選擇。 |
英文摘要 | Thirty-seven hip arthroplasties including 19 bipolar hemiarthroplasties (BH) and 18 total hip arthroplasties (THA) were performed in our hospital in 23 patients with systemic lupus erythematosus (SLE) for femoral head osteonecrosis between July 1984 and July 1996. These patients were followed up retrospectively to compare the results of BH and THA. One case with right side BH and left side THA expired about I year after operation and was excluded from this study. In both groups, these hips with pre-operative osteonecrosis were subclassified in Ficat and Arlet classification. The mean duration of follow-up was 44.5 months (24~85 months) for THA and 70.2 months (24~119 months) for BH. The mean Harris scores pre-operatively were 56.7 ± 1.09 points in the BH group and 50.7 ± 1.29 points in the THA group. The mean post-operative scores were 81.9 ± 4.37 points in the BH group and 95.5 ± 0.80 points in the THA group at final follow up. The clinical results of the THA group were better than those of the BH group. However, at an early stage before collapse of the femoral head (Ficat stage Ⅱ), the results of BH were as good as those of THA. Five BH were converted to THA at the time ranging from 39 months to 113 months (mean 63.2 months) after primary operation due to acetabular cartilage wearing or severe groin pain. The failure rate of BH group was 27.8% (5/18). There was no loosening or revision in the THA group. Although the follow up durations were different in these two groups, the clinical result was obviously superior in the THA group, particularly after the femoral heads had collapsed. Considering the relatively short life span of SLE patients, we prefer THA over BH in the treatment of the femoral head osteonecrosis in SLE patients. However, based on our results, BH is still a very good choice of treatment before the collapse of the femoral head. |
本系統中英文摘要資訊取自各篇刊載內容。