文档介绍：浙江大学硕士学位论文摘要生物型全髋置换治疗强直性脊柱炎髋关节强直浙江大学医学院硕士研究生导师外科学(骨外) 杨骐宁严世贵教授中文摘要目的- 探讨强直性脊柱炎髋关节强直应用生物型全髋关节置换治疗的方法及疗效。方法: 回顾性调查了26例(37髋),应用生物型全髋关节置换治疗强直性脊柱炎并发髋关节强直,随访平均38月,根据Harris评分系统对功能进行评价。结果: 26例(37髋),,,,平均 ,前后比较有显著性差异(P<)。术后无并发感染,无神经损伤,发生脱位1髋(%),髋关节疼痛1髋(%),异位骨化发生4髋(%),没有再强直,随访未发现无菌性松动。结论: 生物型全髋关节置换术是强直性脊柱炎患者重建髋关节、恢复关节功能、提高生活质量的有效方法。完善的术前评估、适当的术中操作和术后康复治疗是成功的关键。关键词:强直性脊柱炎;关节强直;生物型假体;全髋关节置换术浙江大学硕士学位论文摘要 Cementless Total Hip Arthroplasty forHip Ankylosis inPatients withAnkylosing Spondylitis College ofMedicine,Zhejiang University Postgraduate Yang Qi-ning Tutor Shi—gui Abstract objective: To discuss the therapeutic efficacy of ankylosing spondylitis(AS)plus hip ankylosis with cementless hiparthroplasty. Methods: Data of26cases(3 7hips)with AS plus hip ankylosis were retrospectively reviewed with all average follow—up of38 difference ofhip function between preoperative hip andpostoperative hip was analyzed withHarris score. Results: The Harris score Wassignificantly improved from 5-53(mean to66—92 (mean )埘th statisticaldifference(P<).The plications included dislocation in hip(%),groin pain in hip(%),and heterotopic ossification in4hips(1 %).No infection,sciatic injury,re—ankylosis or aseptic loosening Was ever found. 浙江大学硕士学位论文摘要 Conelusion: Cementless totalhip arthroplasty proved tobe effective forhip reconstruction, recovery of hip function,and improvement of for essful treatment prehensive preoperative assessment,proper manipulation and standardized postoperative rehabilitation. Key words:Ankylosing spondylitis;Joint ankylosis;Cementless prothesis;Total hip arthroplasty lV 浙江大学研究生学位论文独创性声明本人声明所呈交的学位论文是本人在导师指导下进行的研究工作及取得的研究成果。除了文中特别加以标注和致谢的地方外,论文中不包含其他人已经发表或撰写过的研究成果,也不包含为获得逝’江苤鲎或其他教育机构的学位或证书而使用过的材料。与我一同工作的同志对本研究所做的任何贡献均己在论文中作了明确的说明并表示谢意。学位论文作者签名: 签字日期:1年卯月矿日学位论文版权使用授权书本学位论文作者完全了解逝鎏苤堂有权保留并向国家有关部门或机构送交本论文的复印件和磁盘,允许论文被查阅和借阅。本人授权逝鎏盘堂可以将学位论文的全部或部分内容编入有关数据库进行检索和传播,可以采用影印、缩