摘要
目的:探讨类风湿关节炎患者人工膝关节置换术后伤口并发症的发生原因及与之相关的影响因素。方法:对2001年1月—2004年12月244例(339膝)行人工膝关节置换术治疗的类风湿关节炎患者的伤口愈合情况进行回顾性分析。分析患者的年龄、痛程、术前药物应用、手术时间及手术中单膝止血带应用时间与患者发生伤口并发症之间的关系。结果:人工膝关节置换术后49例(62膝)出现伤口并发症。手术前应用糖皮质激素的患者出现伤口并发症的几率与手术前未用激素者有显著差异(P<0.05)。出现伤口并发症患者手术中单膝止血带应用时间为94±20min,比伤口正常组平均多16 min,差别有统计学意义(P=0.016)。伤口并发症组与伤口正常愈合组的性别、年龄和手术时间的比较均无显著差异。结论:类风湿关节炎人工膝关节置换术后伤口并发症的发生与手术前应用激素药物情况、手术中止血带应用时间等因素相关。
Objective：To study the wound problems after total knee arthroplasty （TKA） in rheumatic arthritis （RA）, analyzing the cause and factors of wound complications. Methods：The date of 244 cases （339 knees） were reviewed retrospectively. The relationship of used medications, tourniquet time and the occurrence of wound problems were analysed. Results： Among all cases, 49 cases （20.1 %） 62 knees（18.3 % ） had the wound problems. The incidence of wound complication in the patients who still using prednisone before TKA had significantly statistics difference to the patients without prednisone just before the operation （P〈0.05）. The pneumatic tourniquet using time in patients with wound complications was 94 ±20 minutes, 16 minutes more than the normal group（P = 0. 016）. There was no significantly statistic difference in gender, age, operation length between the wound complication group and the normal group. Conclusion： The wound problems after TKA in RA patients had close relationship to prednisone used before TKA, and pneumatic tourniquet time during the period of operation.
出处
《中国临床医学》
北大核心
2007年第4期562-563,576,共3页
Chinese Journal of Clinical Medicine
关键词
类风湿关节炎
伤口并发症
关节成形术
膝
Rheumatic arthritis
Wound complication
Arthroplasty replacement
Knee
