论文部分内容阅读
目的探讨可旋转稳定型假体对胫骨近端恶性骨肿瘤膝关节活动度及临床疗效的影响效果。方法选择2012年5月至2013年5月间收治的68例胫骨近端恶性骨肿瘤患者,随机分为可旋转稳定型假体组(简称观察组),以及单纯铰链型假体组(简称对照组),评估两组患者的膝关节功能、疼痛缓解程度和并发症情况,随访1年评价生活质量。结果观察组患者的优良率为94.1%,优于对照组优良率(88.2%),差异有统计学意义(P<0.05)。观察组伸直(136.2±14.6)度,对照组伸直(110.4±13.2)度,差异有统计学意义(P<0.05)。术前两组患者VAS评分比较,差异无统计学意义(P>0.05)。观察组视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者出现并发症2例,对照组出现并发症3例,差异无统计学意义(P>0.05)。观察组的生活质量指标PF、RP、RE得分均高于对照组,差异有统计学意义(P<0.01)。结论胫骨近端恶性骨肿瘤治疗中应用可旋转稳定型假体,不仅可有效改善患者的膝关节活动度,提高临床疗效,而且可改善患者的生活质量,具有较好的临床推广价值。
Objective To investigate the effect of rotational stable prosthesis on knee joint mobility and clinical effect in proximal tibia malignant tumor. Methods Sixty-eight patients with proximal tibial malignant bone tumors who were admitted to our hospital from May 2012 to May 2013 were randomly divided into two groups: stable rotation prosthesis group (abbreviation: observation group), simple hinge prosthesis group Group), knee function, pain relief and complications in two groups were evaluated. Quality of life was assessed after one year follow-up. Results The excellent and good rate of the observation group was 94.1%, which was better than that of the control group (88.2%), the difference was statistically significant (P <0.05). The observation group was straightened (136.2 ± 14.6) degrees and the control group was straight (110.4 ± 13.2) degrees, the difference was statistically significant (P <0.05). There was no significant difference in VAS scores between the two groups before operation (P> 0.05). Visual acuity score (VAS) in the observation group was lower than that in the control group, the difference was statistically significant (P <0.05). There were 2 cases of complication in observation group and 3 cases of complication in control group, the difference was not statistically significant (P> 0.05). The score of quality of life in the observation group PF, RP, RE were higher than the control group, the difference was statistically significant (P <0.01). Conclusions The application of rotating stable prosthesis in the treatment of proximal tibial malignant bone tumor can not only effectively improve the patient’s knee mobility, improve the clinical curative effect, but also improve the quality of life of patients with good clinical value.