摘要
目的综合分析我院48例人工髋关节置换手术,探讨人工髋关节置换的经验教训。方法选择1998年1月至2007年12月本院人工髋关节置换手术48例,平均随访5年,回顾性分析手术措施及并发症,总结人工髋关节置换术的经验教训。其中人工股骨头置换术27例,人工全髋关节置换术21例。结果48例患者均进入随访结果分析,髋关节术后Harris评分平均91分。其中3例股骨头置换由于假体松动疼痛行全髋置换翻修术。2例全髋置换术后脱位翻修,1例感染疼痛清创旷置翻修。结论适应症和假体的选择,围手术期的治疗、并发症的防治及康复是手术成功的必要条件,手术技术是成功的关键。
Objective To investigate the clinical experience of 48 artifical prosthetic replacements of hip joints in our hospital in 9 years.Methods Fourty-eight cases accepted artifical hip replacement from January 1998 to December 2007.To analyze skills of operation and complications.27 of 48 cases were treated with hemiarthroplasty and 21 cases with total hip replacement. 48 cases accepted follow-up average time is 5 years.Results 48 cases had been followed up and all cases had postoperative Harris hip score averaged 91.6 cases were revision.Treatment strategies included:one-stage revision(n=5),because of postoperative painful and dislocation.Two-stage revision(n=1),because of infection.Conclusion Selection of treatment methods and prosthesis for the patient of hip joint is important.The skills of operation is the key of artifical prosthetic replacements of hip joints.
出处
《甘肃医药》
2008年第5期61-63,共3页
Gansu Medical Journal
关键词
人工关节置换
髋
临床分析
artifical prosthetic replacement
hip joint
clinical research
