不同间隔时间对分期双侧全膝关节置换术的影响  

Effect of different intervals on staged bilateral total knee arthroplasty

作　　者：柳宁强 梁钰琪 王聪[1] 穆生瑞 解桐 郭崇军[2] 牛东生[2] Liu Ningqiang;Liang Yuqi;Wang Cong;Mu Shengrui;Xie Tong;Guo Chongjun;Niu Dongsheng(The Third Clinical College of Ningxia Medical University, Yinchuan 750021, China;Department of Joint Surgery, People′s Hospital of Ningxia Hui Autonomous Region, Yinchuan 750021, China;School of China-Japan Friendship Hospital, Capital Medical University, Beijing 100029, China)

机构地区：[1]宁夏医科大学第三临床医学院,银川750021 [2]宁夏回族自治区人民医院关节外科,银川750021 [3]首都医科大学中日友好临床医学院,北京100029

出　　处：《中华关节外科杂志（电子版）》2021年第3期345-349,共5页Chinese Journal of Joint Surgery(Electronic Edition)

基　　金：宁夏回族自治区重点研发计划重大(重点)项目(2019BFG02012)。

摘　　要：全膝关节置换术(TKA)是当下治疗晚期膝关节骨关节炎的主要方式,包括同期双侧全膝关节置换术、分期双侧全膝关节置换术,目前对于年龄较大、术前合并症较多的患者,越来越多的医生和患者更接受分期双侧全膝关节置换术,但是在双侧全膝关节置换(BTKA)时间的选择上尚未达成统一,选择合适的间隔时间对不适合行同期双侧全膝关节置换的患者而言可以降低因双侧手术间隔时间带来的影响,包括术中及术后出血及输血情况、围术期并发症、术后功能恢复、住院费用等,因此本文就上述内容的研究进展进行综述,为临床选择合适间隔时间提供建议。Total knee arthroplasty(total knee arthroplasty,TKA)is the main method for the treatment of advanced knee osteoarthritis at present,including simultaneous bilateral total knee arthroplasty and staged bilateral total knee arthroplasty.At present,for older patients with more preoperative complications,more and more doctors and patients accept staged bilateral total knee arthroplasty.However,no consensus has been reached on the selection of time for bilateral total knee arthroplasty(bilateral total knee arthroplasty,BTKA).For the patients who are not suitable for bilateral total knee arthroplasty at the same time,the impact caused by the interval time between bilateral operations can be reduced,including intraoperative and postoperative bleeding and blood transfusion,perioperative complications,postoperative functional recovery,hospitalization costs etc.Therefore,this paper reviewed the research progress of the above contents,and provided suggestions for clinical selection of appropriate interval time.

关 键 词：关节成形术 置换 膝 骨关节炎 功能恢复 治疗效果 

分 类 号：R68[医药卫生—骨科学]