同期与分期双侧全膝关节置换术治疗双膝骨性关节炎的效果及安全性  

Effect and safety by homochronous and staging bilateral total knee replacement in the treatment of both knees osteoarthritis

作　　者：朴俊杰[1] 

机构地区：[1]内蒙古赤峰市医院骨关节科,024000

出　　处：《中国实用医药》2017年第17期66-68,共3页China Practical Medicine

摘　　要：目的探析同期与分期双侧全膝关节置换术治疗双膝骨性关节炎的临床效果及安全性。方法 70例膝骨性关节炎患者,根据随机数字法分为参照组和观察组,每组35例。参照组患者给予同期全膝关节置换术,观察组患者给予分期关节置换术,观察分析两组患者治疗效果、关节活动度、膝关节功能评分(HSS评分)以及输血情况。结果观察组患者住院时间、手术时间、住院费用、输红细胞量分别为(20.8±5.5)d、(158.6±21.4)min、(10236.1±157.4)元、(230.6±35.4)ml,输血例数为6例;参照组患者住院时间、手术时间、住院费用、输红细胞量分别为(15.4±3.4)d、(130.4±25.6)min、(9775.4±325.8)元、(483.4±50.7)ml,输血例数为21例;观察组患者住院时间、手术时间长于参照组,住院费用高于参照组,差异具有统计学意义(P<0.05),观察组患者输红细胞量及输血例数均少于参照组,差异具有统计学意义(P<0.05)。治疗前后两组患者关节活动度及HSS评分比较差异均无统计学意义(P>0.05)。结论针对膝骨性关节炎患者进行分期手术与同期手术治疗均可以促进患者关节功能的康复,同期和分期手术治疗各据一定的临床优势。Objective To investigate clinical effect and safety by homochronous and staging bilateral total knee replacement in the treatment of both knees osteoarthritis. Methods A total of 70 patients with knee osteoarthritis were divided by random number table into control group and observation group, with 35 cases in each group. The control group received homochronous total knee replacement, and the observation group received staging total knee replacement. Observation and analysis were made on curative effect, joint range of motion, hospital for special surgery knee score （HSS） and blood transfusion condition in the two groups. Results The observation group had hospital stay time, operation time, and hospitalization cost and erythrocyte transfusion volume respectively as （20.8 ± 5.5） d, （158.6 ± 21.4） min, （10236.1±157.4） yuan and （230.6±35.4） ml, and there were 6 cases with blood transfusion. The control group had hospital stay time, operation time, and hospitalization cost and erythroeyte transfusion volume respectively as （15.4±3.4） d, （130.4±25.6） rain, （9775.4±325.8） yuan and （483.4±50.7） ml, and there were 21 cases with blood transfusion. The observation group had longer hospital stay time, operation time, and higher hospitalization cost than the control group, and their difference had statistical significance （P〈0.05）. The observation group had lower erythrocyte transfusion volume and fewer cases with blood transfusion than the control group, and the difference had statistical significance （P〈O.05）. There was no statistically significant difference of joint range of motion and HSS score before and after treatment between the two groups （P〉0.05）. Conclusion Implement of homochronous and staging operation in treating patients with knee osteoarthritis can both accelerate rehabilitation of joint function, thus homochronous and staging operation both contain their own clinical advantages.

关 键 词：全膝关节置换术 同期 分期 双膝骨性关节炎 效果 安全性 

分 类 号：R687.4[医药卫生—骨科学]