全髋关节置换论文：全髋关节置换力线生活质量膝关节骨性关节炎

1、全髋关节置换论文：全髋关节置换力线生活质量膝关节骨 性关节炎【中文摘要】人工全髋关节置换术术后患者的下肢力线发生变化 这些改变可能会对下肢其他关节产生影响，因此,我们调查患有膝关 节骨性关节炎的患者，在全髋关节置换术后的生活质量，探讨下肢力 线改变对膝关节的影响。方法：选择符合人工全髋关节置换术的适应 症并行人工全髋关节置换术，同时符合膝关节骨性关节炎诊断，伴有 膝关节疼痛的患者 24 例 24 髋,平均年龄 63.87 岁，分别于术前及术后 半年测量下肢长度，拍下肢全长（DR）片，测量下肢各力线角度，检查患 者患侧髋关节及膝关节活动度，评估患者 VAS 疼痛评分及 SF-36 生活 质量评分

2、。结果：1手术前后双侧髋关节偏心距差值存在显著统计学 差异（P0.05）。3.患者手术前后，患侧的髋-膝踝角、膝关节生理外翻 角I、膝关节生理外翻角H、胫股冠状角均有显著统计学差异 （P0.05）。4.患者手术前后，生活质量测评表 SF-36 中各维度评分手术 前后均有显著统计学差异，其中手术后躯体功能、躯体角色增强，躯体 疼痛感减弱，总体健康,精力和社会功能，情感角色及心理健康上均有 明显增强；患者手术前后，VAS 评分具有显著统计学差异（PV0.05）。 结论：1.人工全髋关节置换术能够恢复患肢的股骨偏心距，改善双下 肢的不等长。2.人工全髋关节置换术改变了下肢的各力线轴及力线角 度,同时

3、使得膝关节负荷分布发生变化。3.伴有膝关节骨性关节炎的 患者,在行全髋关节置换术半年后，生活质量（QOL）明显提高，疼痛评 分明显降低。意义：本研究通过探讨全髋关节术后早期的下肢力线及 各评分标准的变化，初步探讨了全髋关节置换术后下肢的改变对同侧 膝关节的影响，研究表明，全髋关节置换，对下肢力线的改变明显，对 同时患有膝关节骨性关节炎的患者生活质量有一定的改善。【英文摘要】：The limb alignment must be changed after total hiparthroplasty, these cha nges may produce the in flue nee on t

4、he legsother joints.Oursurvey studied about Quality of lifeevaluati on in patie nts who suffer from osteoarthritis of knee after total hiparthroplasty,a nd discussed the in flue nee of limb alig nment to knee.Methods:We choosed 24 patie nts,who suffer from pain andosteoarthritis of kn ee.The patie n

5、ts were also accord with the in dicati onof total hip arthroplasty。Both before and after the THA,we measured the len gth of lowerextremity,a nd took X-ray,a nd measured the an gle of limb alignment,andexamine the activity of hip and knee,then get the evaluation of VAS andSF-36 .R esults:1.The differ

6、e nts of the femoral offsets before the surgerywere significantly related to the differe nts after the surgery and Ion geh oflower extremity and AR also had sig nifica ntly relatati on before thesurgery to after the surgery.2.The activity of hip had significantlyrelated before the surger to after (P

7、0.05).4. hescores of each part in SF-36 were significantlyrelatate before thesurgery to after.Scores of Bodily Pain decreased,and scoresof Physical Function、Role Physical、Vitality 、General Health、Emotional 、 Social Function and Mental Health all have significantlyimprovement.The scores of VASwere si

8、gnificantlyrelatate before the surgery to after.C on clusi on :1.THA can recover thefemoral offset and the same Ion gth of lower extremity。THA changed thelimb alignment lines ang angles,which lead to the change of distribution ofknee sload.3. Quality of life of the patients, who suffer from osteoart

9、hritis of knee,improved half a year after the THA and the scores of pain decreased.【关键词】全髋关节置换力线生活质量膝关节骨性关节炎【采买全文止】139938.848 1 38413721同时提供论文写作一对一辅导和论文发表服务保过包发.【说明】本文仅为中国学术文献总库合作提供，无涉版权。作者如有异议请与总库或学校联系。【英文关键词】total hip arthroplasty limbalig nmentQuality of life osteoarthritis【目录】伴有膝关节骨性关节炎的全髋关节置换术后QOL 变化的研究摘要 7-8 Abstract 8 前言 9-10第一部分理论研究10