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目的探讨人工全髋关节置换术治疗股骨近端骨肿瘤的临床疗效及预后。方法选择我院2009年1月至2011年6月治疗的股骨近端骨肿瘤患者31例,均为人工全髋关节置换术治疗的患者,观察手术结局、评估术后患者髋关节功能及生活质量,并记录随访结果,对以上各项进行分析。结果手术均成功完成,手术时间为(132.5±12.9)min,术中出血量为(840.5±76.0)ml,住院时间为(16.0±2.2)d;出院时患者髋关节的屈曲、内外旋和外展活动度均明显改善,与术前比较,差异均有统计学意义(均P<0.05);出院时患者的诺丁汉健康量表(NHP)评分明显改善,与术前比较,差异有统计学意义(P<0.05);随访6～24个月,未见髋关节脱位和假体松动等并发症,2例发生髂骨转移。结论人工全髋关节置换术治疗股骨近端骨肿瘤的临床疗效满意,能明显改善患者的关节功能及生活质量,随访期间存活率高,预后良好,该治疗方案值得借鉴。
Objective To investigate the clinical effects and prognosis of total hip arthroplasty in the treatment of proximal femoral neoplasms. Methods Totally 31 patients with proximal femoral bone tumor who were treated in our hospital from January 2009 to June 2011 were all treated with total hip arthroplasty. The surgical outcomes were observed and the postoperative hip function and quality of life , And record the follow-up results, the above analysis. Results The operation was completed successfully. The operation time was (132.5 ± 12.9) min. The intraoperative blood loss was (840.5 ± 76.0) ml and the hospitalization time was (16.0 ± 2.2) d. The hip flexion, (P0.05). The Nottingham Health Scale (NHP) score of patients discharged from hospital significantly improved compared with that before operation, the difference was statistically significant (P <0.05). No complications such as dislocation of the hip joint and loosening of the prosthesis were observed in 6-24 months follow-up, and iliac bone metastasis occurred in 2 cases. Conclusion The total hip arthroplasty for the treatment of proximal femoral bone tumors with satisfactory clinical outcomes, can significantly improve the patient’s joint function and quality of life, high survival rate during follow-up, the prognosis is good, the treatment is worth learning.