双侧同期与分期非骨水泥型人工全髋关节置换术的安全性对比与分析

发布时间：2018-10-08 16:06

【摘要】：目的:比较行双侧同期非骨水泥型人工全髋关节置换术与行双侧分期非骨水泥型人工全髋关节置换术的安全性与并发症发生情况。方法:对本院2012年3月至2015年3月53例行双侧非骨水泥型人工全髋关节置换术的患者进行回顾性分析,其中双侧同期置换25例(50髋),双侧分期置换28例(56髋)。比较两组术后血红蛋白和血细胞比容及其改变,术中术后输血量及输血率,手术时间及住院时间,以及术后并发症的发生情况。结果:双侧同期非骨水泥型人工全髋关节置换术在平均住院日方面较双侧分期全髋置换明显缩短[(21.32±5.92)d vs(32.93±11.12)d,P0.05];术后输血量[(447.60±104.86)ml vs(245.00±70.00)ml,P0.05]、总输血量[(726.20±129.79)ml vs(541.57±124.44)ml,P0.05]及总输血率[76%vs 51.7%,P0.05],双侧同期置换术较双侧分期置换术有所增加;双侧同期非骨水泥型全髋置换术后发生并发症的比例较双侧分期置换的略低(8%vs 17.8%),但差异无统计学意义(P0.05)。结论:双侧同期非骨水泥型人工全髋置换术较双侧分期非骨水泥型人工全髋关节置换术明显降低平均住院日,但增加术后总输血量和总输血率,而术后并发症的发生无显著差异。
[Abstract]:Objective: to compare the safety and complications of bilateral uncemented total hip arthroplasty (THR) with bilateral staged total hip arthroplasty (THR). Methods: from March 2012 to March 2015, 53 patients with bilateral cement-free total hip arthroplasty were retrospectively analyzed, including 25 cases (50 hips) of bilateral simultaneous replacement and 28 cases (56 hips) of bilateral staged replacement. The changes of hemoglobin and blood cell volume, blood transfusion volume and blood transfusion rate, operation time and hospital stay, and postoperative complications were compared between the two groups. Results: the average hospitalization time of bilateral cementless total hip replacement was significantly shorter than that of bilateral staged total hip replacement [(21.32 卤5.92) d vs (32.93 卤11.12) dP0.05], postoperative blood transfusion volume [(447.60 卤104.86) ml vs (245.00 卤70.00) ml,P0.05], total blood transfusion volume [(726.20 卤129.79) ml vs (541.57 卤124.44) ml,P0.05] and total blood transfusion rate (76%vs 51.7% P0.05) were significantly shorter than those of bilateral stage total hip arthroplasty [(21.32 卤5.92) d vs (, 32.93 卤11.12) d0.05], total blood transfusion volume [(726.20 卤129.79) ml vs (541.57 卤124.44) ml,P0.05], and bilateral replacement volume [(726.20 卤129.79) ml vs (541.57 卤124.44) ml,P0.05]. Compared with bilateral stage replacement, the operation increased. The rate of complications after bilateral uncemented total hip replacement was slightly lower than that of bilateral stage replacement (8%vs 17.8%), but the difference was not statistically significant (P0.05). Conclusion: bilateral uncemented total hip arthroplasty significantly decreased the average hospitalization days, but increased the total blood transfusion volume and the total blood transfusion rate. There was no significant difference in the incidence of postoperative complications.
【作者单位】：中国医科大学附属盛京医院骨科;
【基金】：国家自然科学基金资助项目(81370981) 盛京自由研究者项目(MD31) 中国医科大学校内科研基金资助项目(XZR20160013)
【分类号】：R687.4

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