摘要
目的 对同期与分期双侧全髋关节置换术进行比较 ,了解同期双侧关节置换的安全性和有效性。方法 1997年 3月～ 2 0 0 3年 1月进行的双侧髋关节置换病人中共 118例(2 36个关节 )获随访 ,将其分为 2组 ,A组为同期置换组 87例 (174个髋关节 ) ,B组为分期置换组 31例 (6 2个髋关节 )。对比A组与B组之间手术时间、总出血量、总输血量、术前与术后Harris评分及术后并发症等方面的差异。结果 两组各项指标之间均无统计学差异。从住院时间、总治疗费用、总出血量、总输血量、并发症及功能等多方面考虑 ,同期双侧全髋关节置换明显要优于分期双侧全髋关节置换。结论 同期双侧全髋关节置换安全可行 ,与分期置换相比具有一定优越性。
Objective To compare the results of one-stage bilateral total hip arthroplasty (THA) and staged bilateral THA, and to determine the safety and efficacy of one-stage simultaneous bilateral THA. Methods The patients who were indicated for with bilateral THA were divided into 2 groups. Gourp A included 87 patients with one-stage simultaneous bilateral THA, and Group B included 31 patients with staged bilateral THA. The operating time, the amount of blood loss, the amount of blood transfusion necessary, post-operation functional scores, and perioperative complications were compared between group A and group B. Result There was no significant difference between group A and group B. Conclusion One-stage simultaneous bilateral total hip arthroplasty was a safe and efficacious procedure.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2004年第12期1084-1085,共2页
Medical Journal of Chinese People's Liberation Army
