初次人工髋关节置换术后关节引流量的影响因素观察与分析  

Influencing factors of joint drainage vlolume after first time of total hip arthroplasty

作　　者：魏波[1] 陈喜德[1] 陈日景[1] 谭宏昌[1] 康毅[1] 

机构地区：[1]广东医学院附属医院骨科一区,广东湛江524001

出　　处：《广东医学院学报》2008年第6期614-615,617,共3页Journal of Guangdong Medical College

摘　　要：目的观察初次人工髋关节置换术后关节引流量的变化及术式对其的影响。方法初次人工髋关节置换术86例老年患者,分别采用骨水泥型全髋置换、生物固定型全髋置换、混合型全髋置换进行人工髋关节置换,观察术后12、24、48h及拔管时的引流量,以及不同术式对引流量的影响。结果术后12h引流量占总量的53.7%,24h后引流量呈减少趋势,生物固定型全髋置换术12 h引流量达(346±41)mL,高于其它术式(P<0.01),48h时的累积引流量与各术式有统计学差异(P<0.01)。结论术后12h是初次人工髋关节置换术后关节引流的高峰期,应密切观察引流量的变化,术式可能是影响引流量大小的因素之一。Objective To observe the factors influencing drainage volume after the first time of total hip arthroplasty （THA）. Methods Eighty-six elderly patients underwent THA with cemented, biological and mixed prostheses, and the drainage volume was recorded postoperatively. Results The drainage volume in 12 h accounted for 53.7% in total quantity, and decreased gradually 24 h later. The biological prosthesis induced the largest volume within 48 h as compared with other groups （P〈0.01）.Conclusion The drainge volume peaked in 12 h after the first time of THA, and the types of prostheses may be one of the factors influencing drainage volume .

关 键 词：人工髋关节置换 引流 术式 

分 类 号：R681.53[医药卫生—骨科学]