文档介绍：同期双侧全髋关节置换术的临床观察
作者:王培信,庄永,廖春来,秦辉,曾波,谢逸波作者单位:广东潮州解放军188医院创伤外科,广东潮州 521000;四川省成都市第三人民医院骨科,四川成都 610031
【摘要】目的探讨同期双侧人工全髋关节置换术的疗效。方法 2000年8月至2005年3月,对10 例(20髋)患者行双侧全髋关节置换术。其中男8 例16髋,女2 例4髋;年龄25~65 岁,病程1~30年()。术前髋关节Harris评分12~45分,平均27分。其中7 例采用SmithPeterson切口,3 例采用后路Moore切口。~ h, h,术中输血600~1 600 mL,平均1 000 mL。结果 10 例均获6个月~5年3个月,平均18个月随访,髋关节术后Harris评分70~100分,平均86分,较术前平均提高59分(27~86分),差异有统计学意义(P<)。除1 例患者于术后1个月因心脏病死亡外,其余患者术后均无感染、肺栓塞、深静脉栓塞、假体松动、假体下沉及脱位等并发症发生。患者均能独立行走,自理生活。结论同期双侧人工全髋关节置换术是一种安全有效的手术,充分的术前准备,慎重选择病例,严格的假体安装标准,有效地风险防范是手术成功的关键。
【关键词】股骨头缺血坏死;髋关节骨关节炎;双侧;全髋关节置换术
Clinical Cases Report of Simultaneous Bilateral Total Hip Arthroplasty WANG Peixin, ZHUANG Yong, LIAO Chunlai, et al (Department of Orthopaedics, Chaozhou 188 Hospital of PLA, Chaozhou 521000, China)
Abstract: Objective To study the effect of simultaneous bilateral total hip arthroplasty in a sequential procedure. Methods Ten patients(8 man, 2 women; age from 25 to 65 years) were indicated for bilateial total hip arthroplasty (THA) simultaneously from August 2000 to March 2005. Their courses of disease were ranged from 1~30 years(mean years,). Seven cases were done with SmithPeterson incision and three cases were done with Moore incision. The operative time went on 3 hours 25 minutes to 5 hours(mean time, 4 hours 10 minutes). The volume of blood transfusion during operation was 600 t