同期与分期双侧全髋关节置换术的疗效比较  

Comparison of clinical efficacy and safety in bilateral total hip arthroplasty between same or different stages

作　　者：骆雷锋 袁文旗[1] 卞春喜[1] 

机构地区：[1]周口市中心医院关节外科,河南周口466000

出　　处：《临床骨科杂志》2016年第5期558-560,共3页Journal of Clinical Orthopaedics

摘　　要：目的：探讨同期与分期双侧全髋关节置换术（ THA）的疗效及安全性。方法手术治疗64例双侧THA患者按照ASA评级分为两组,A组34例行同期双侧THA,B组30例行分期双侧THA。比较两组各项临床指标和并发症发生情况。结果患者均获得随访,时间12-18个月。两组手术时间及术中失血量差异无统计学意义（P 〉0．05）；住院时间、下地活动时间及住院费用 A 组均明显低于 B 组,差异有统计学意义（P 〈0．05）。两组并发症发生率比较差异无统计学意义（〉0．05）；两组术后功能均较术前明显改善（P〈0．05）,两组之间比较差异无统计学意义（P〉0．05）。结论同期行双侧THA安全有效,节约医疗资源,但需患者身体条件允许且应控制好围手术期管理。Objective To investigate short-term clinical efficacy and safety in bilateral total hip arthroplasty（ THA） between same or different stages. Methods Sixty-four patients who underwent bilateral THA were divided into two groups according to the ASA grade. Group A with 34 patients were implemented simultaneous bilateral THA, group B （30 cases）were implemented with staging bilateral THA. The perioperative clinical indicators and complications oc-currence of both groups were compared. Results All the patients were followed up for 12-18 months. There were no significant differences between the two groups in operative time and intraoperative blood loss （ P〉0. 05 ）; length of stay, off-bed ambulation time and hospital costs of group A were significantly lower than the group B, the difference was statistically significant （P〈0. 05）. There was no significant difference in the complication incidence rate of two groups （P〉0. 05）. Postoperative function of two groups were all improved obviously（P〈0. 05）, but there was not significant difference between two groups （ P〉0. 05 ） . Conclusions Concomitant bilateral THA is safe and effec-tive, saving medical resources, but the patient′s body condition should be allowed to control the perioperative man-agement.

关 键 词：双侧 全髋关节置换术 股骨头坏死 

分 类 号：R687.4[医药卫生—骨科学] R681.8[医药卫生—外科学]