中国骨伤2017，Vol.30Issue(12)：1102-1106,5.DOI:10.3969/j.issn.1003-0034.2017.12.006
髋关节置换术治疗髋部疾病合并帕金森病的疗效分析
Efficacy analysis on hip replacement for hip-joint diseases with Parkinson disease
摘要
Abstract
Objective:To explore clinical efficacy of hip replacement for hip-joint diseases with Parkinson disease.Methods:From December 2011 to December 2016,18 patients with hip-joint diseases with Parkinson disease treated by hip replacement,including 8 males and 10 females aged from 59 to 87 years old with an average of 71 years old.Among them,3 cases were developmental dysplasia of hip,3 cases were femoral head necrosis and 12 cases were femoral neck fracture.All patients manifested with obvious pain and limitation of stepping ability.Postoperative complications were observed and Harris score were used to compare hip joint function after operation.Results:The incision were healed well,and pain were alleviated or disappeared,and hip joint function were improved.Eighteen patients were followed up from 1 to 3 years with an average of 2.3 years.At the latest follow up,14 cases recovered freedom-walk,2 cases could walk with walking stick,1 case could walk with walking aid and 1 case was died.Among 18 patients,2 cases were occurred dislocation,and 1 case were died for cardiac disease at 3 months after operation.Four patients were occurred slight pain.There were significant differences in Harris scores among preoperative (41.7 ± 1.4),6 months after operation (80.1 ±5.4)and the final follow-up (83.4±2.1),and 10 cases got excellent result,4 good,1 fair and 2 poor.Conclusion:Application of hip replacement for hip-joint diseases with Parkinson disease is a safe and effective clinical therapy,and has advantages of less complications and rapid recovery of hip joint function.关键词
髋关节置换术,全/帕金森病/术后并发症Key words
Hip replacement,total/Parkinson disease/Postoperative complications引用本文复制引用
孙启才,茹选良,夏燕飞,刘小利,宋柏杉,乔松,严世贵,王祥华..髋关节置换术治疗髋部疾病合并帕金森病的疗效分析[J].中国骨伤,2017,30(12):1102-1106,5.基金项目
浙江省医药卫生一般研究计划项目(编号:2014KYB010,2012KYB007) （编号:2014KYB010,2012KYB007）
浙江省中医药科技计划项目(编号:2017ZB003) （编号:2017ZB003）
浙江省教育厅项目(编号:Y201534707)General Research Project of Zhejiang Medical and Health(No.2014KYB010,2012KYB007) （编号:Y201534707）
