同期与分期双侧全髋置换术临床疗效比较  

Comparison of clinical effects of simultaneous and staged bilateral total hip arthroplasty

作　　者：时超[1] 许杰[1] 李朝顶[1] 王琦[2] 

机构地区：[1]南京中医药大学附属徐州市中医院,江苏徐州221000 [2]上海交通大学附属上海市第六人民医院关节外科,上海200233

出　　处：《临床医药文献电子杂志》2016年第31期6185-6187,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的 分析和比较同期与分期双侧全髋置换术围手术期安全性及临床疗效。方法 选取本院2012年9月~2015年9月收治的行双侧全髋置换术患者共52例（104个髋关节）,根据治疗方案（同期或分期）不同,分为A组（28例）及B组（24例）,A组均采用同期置换,B组采用分期置换,术后两组患者均得到随访,比较两组患者的手术时间、总失血量、输血量、总住院时间及费用、术后关节功能改善情况及术后并发症等方面。结果 A组与B组在手术时间、总失血量及输血量方面没有显著差异,无统计学意义（P〉0.05）;A组总住院时间短于B组,A组住院费用费用低于B组,两组差异具有统计学意义（P〈0.05）;A组与B组术前及术后Harris评分分别为（46.4±9.5）分、（84.3±9.9）分,（48.6±10.1）分、（83.3±9.7）分,两组Harris评分术后较术前差异具有统计学意义（P〈0.05）,两组间术后Harris评分比较无统计学差异（P〉0.05）,两组患者均未见术后并发症。结论 应用同期全髋关节置换术冶疗双侧髋关节疾患安全可靠,疗效满意,并且可以缩短住院时间,减轻患者痛苦及经济负担,术前充分准备,严格选择手术适应证,系统规范处理术前、术中、术后每一环节是同期双髋关节置换成功的关键所在。Objective To analyze and compare the safety and clinical efficacy of perioperative bilateral total hip arthroplasty （BTHA） in the same stage and in different stages. Method Select 52 patients with BTHA who were admitted to our hospital in the peri- od of September 2012 to September 2015. According to the different treatment, we divided the patients into two groups A and B. Among them, group A adopt BTHA in the same stage, and group B adopt BTHA in different stages. After the surgery, all the patients were follow-up visited. Compare the surgery time, the total amount of blood loss, blood transfusion, hospitalization time and costs, postop- erative joint function improvement and complications between two groups. Re.suits There was no significant difference in operation time, total blood loss and blood transfusion between group A and group B. The hospital stay of group A was shorter than group B, the hospital fees cost of group A was less than group B, the difference was statistically significant. The Harris scores of before surgery and postoperative of group A were （46. 4± 9. 5） points and （ 84. 3 ± 9. 9） points, the Harris scores before surgery and postoperative of group B were （48. 6 ±10. 1 ） points and （ 83.3 ± 9.7） points, there was significant difference between the Harris scores of before sur- gery of the two groups, b.ut there was no significant difference between the Harris scores of postoperative of the two groups. The patients of two groups were no postoperative complications. Conclusion Application of BTHA for bilateral hip joint disease was safe and relia- ble. The results were satisfactory. It can shorten hospital stays, reduce suffering and economic burden of patients. There were three ele- ments to get success in simultaneous BTHA. Firstly, fully prepared before surgery. Secondly, select operation indications strictly. The last element was that deal with preoperative, intraoperative and postoperative normatively.

关 键 词：同期 分期 双侧全髋置换术 临床疗效 

分 类 号：R684[医药卫生—骨科学]