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Ⅰ期双侧全髋关节置换术的临床应用特征 被引量:2

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摘要 目的:观察Ⅰ期双侧全髋关节置换术的安全性和有效性。方法:选择2000-01/2004-01中南大学湘雅医院骨科收治的髋关节疾患患者18例(36个关节)。男10例,女8例;年龄43~78岁。其中股骨头坏死7例,骨性关节炎4例,强直性脊柱炎3例,类风湿性关节炎3例,先天性髋关节脱位1例。选择Ribbed假体12个;SPⅡ8个,Classic8个;国产假体8个;骨水泥型假体22个,非骨水泥型假体14个。18例患者均行Ⅰ期双侧全髋关节置换术。观察患者手术时间、总出血量、总输血量、术前与术后10个月随访时Harris评分及术周、术后并发症。结果:18例患者术后均获10个月随访。①术后髋关节功能Harris评分明显高于术前(90.5±20.5,38.5±15.5,t=24.846,P<0.05)。②手术时间(双侧手术完成的总时间)为(220.5±22.5)min。③术中总出血量(1548.4±256.5)mL,平均输血量(1322.5±220.5)mL。④2例术后脱位与假体放置不当有关。无肺栓塞、深静脉血栓形成、感染等并发症发生。结论:Ⅰ期双侧全髋关节置换术能明显改善髋关节功能,且无明显并发症,表明是安全的、有效的。
出处 《中国临床康复》 CSCD 北大核心 2006年第28期110-111,F0003,共3页 Chinese Journal of Clinical Rehabilitation
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参考文献9

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