摘要目的 探讨全髋关节置换术治疗强直性脊柱炎髋关节骨性强直的临床疗效.方法 将强直性脊柱炎髋关节骨性强直患者43例遵照知情同意原则随机分为观察组(23例)和对照组(20例),分别采用全髋关节置换术与保守治疗,比较分析两组患者的临床疗效.结果 观察组患者的术后髋关节Harris评分及VAS疼痛评分均明显优于对照组,组间差异均有统计学意义(均P＜0.05).两组优良率分别为91.3%、60.0%,差异有统计学意义(x2=4.328,P＜0.05).结论 全髋关节置换术治疗强直性脊柱炎髋关节骨性强直的临床疗效佳,可以提高患者的生活质量,值得临床推广应用.

abstractsObjective To investigate the effect of total hip arthroplasty in treatment of patients with ankylosing spondylitis and bilateral hip bony ankylosis. Methods 43 patients with ankylosing spondylitis and bilateral hip bony ankylosis were randomly divided into observation group (23 cases) and control group (20 cases) in accordance with the principle of informed consent, individually treated by total hip arthroplasty and conservative treatment, the effect of two groups were compared and analyzed. Results In the observation group, the postoperative Harris hip score and the VAS pain score of patients were significantly better than the control group,the differences were all statistically significant between two groups( all P ＜ 0.05 ). Excellent rate of the two groups were 91.3% and 60.0% respectively, and the difference was statistically significant ( x2 = 4.328, P ＜ 0.05 ). Conclusion Total hip arthroplasty in treatment of patients with ankylosing spondylitis and bilateral hip bony ankylosis has better clinical effect, and could improve the quality of life of patients, so it was worthy of clinical application.