摘要
目的 探讨一期双侧全髋关节置换术临床疗效的影响因素.方法 回顾性分析1998年2月至2008年3月行一期双侧全髋关节置换术36例患者的临床资料.均采用Smith-Peterson切口.结果 本组平均手术时间（3.2±1.2）h,术中平均输血（620±120）ml.术后36例患者均获随访,平均随访时间（22.0±6.0）个月.其中1例下肢深静脉栓塞,1例肢体不等长达1.5 cm,其余患者术后均无感染、肺栓塞、假体脱位、松动、下沉等并发症.术后髋关节Harris评分（88.0±3.6）分,较术前髋关节Harris评分的（28.0±4.2）分明显提高,差异有统计学意义（P〈0.05）.结论 一期双侧全髋关节置换术疗效满意.严格病例选择、充分术前准备、重视手术操作、防治术后并发症及积极的术后康复是取得良好疗效的关键.
Objective To study the factors influencing the curative effect of one-stage bihteral total hip arthroplasty in a sequential procedure.Methods Thirty-six patients were indicated for one-stage bilateral total hip arthroplasty from February 1998 to March 2008.All cases were made with Smith-Peterson incision.Results The operative time was（3.2±1.2）h.The volume of blood transfusion during operation was （620 4±120）ml.All the 36 patients were followed up for（22.0±6.0）months.Except for 1 case of deep venous thrombosis of lower limbs,1 case of limb length discrepancy,there were no severe complications,such as postoperative infection,pulmonary embelism,dislocation,loosening or subsiding of components.Postoperative Harris scoreg of the joint function[（88.0±3.6）points]was significantly improved compared with their preoperative Harris scores[（28.0±4.2）points]（P〈0.05）.Conclusions One-stage bilateral total hip arthroplasty is an effective method.However.the satisfactory effects can only be achieved by strict case selection,sufficient preoperative preparation,attention to operation procedures,prevention of complications and active recovery after operations.
出处
《中国医师进修杂志》
2010年第17期4-6,共3页
Chinese Journal of Postgraduates of Medicine
关键词
关节成形术
置换
髋
骨关节炎
髋
股骨头坏死
Arthroplasty,replacement,hip
Osteoarthritis,hip
Femur head necrosis
