CAJ | 학술논문

目的探讨不同年龄段患者接受人工膝关节置换术疗效和围手术期并发症.方法对2004年1月至2005年3月在北京积水潭医院接受人工膝关节置换的212例患者300膝进行回顾性分析,将患者按不同年龄进行分组.对不同组别进行膝关节评分(KSS评分)并统计系统与局部并发症.结果不同组别患者通过人工膝关节置换手术KSS评分均获得提高,并且70岁以上进行双侧人工膝关节置换的患者膝关节功能提高优于其他各组(P<0.05).同时随着年龄的增长,术后并发症的发生概率也相应增加.结论人工全膝关节置换术可以缓解膝关节疼痛和提高膝关节功能,高龄并不会影响人工膝关节手术的疗效.但是高龄患者或者同时进行双侧手术的患者术后的并发症发生率相对较高,需更为稳妥的围手术期处理.
목적 탐토불동년령단환자접수인공슬관절치환술료효화위수술기병발증.방법 대2004년1월지2005년3월재북경적수담의원접수인공슬관절치환적212례환자300슬진행회고성분석,장환자안불동년령진행분조.대불동조별진행슬관절평분(KSS평분)병통계계통여국부병발증.결과 불동조별환자통과인공슬관절치환수술KSS평분균획득제고,병차70세이상진행쌍측인공슬관절치환적환자슬관절공능제고우우기타각조(P<0.05).동시수착년령적증장,술후병발증적발생개솔야상응증가.결론 인공전슬관절치환술가이완해슬관절동통화제고슬관절공능,고령병불회영향인공슬관절수술적료효.단시고령환자혹자동시진행쌍측수술적환자술후적병발증발생솔상대교고,수경위은타적위수술기처리.
Objective To analyze the clinical results and complications of total knee arthroplasty (TKA) performed for patients with different ages. Methods From January 2004 to March 2005,212 patients (300 knees) were followed up, all patients were divided into 6 groupa according to the age. All the complications and knee society scores (KSS) were documented and relieved for analysis. Results KSS of all groups was significantly improved after TKA. The patients whose age was 70 years or older, and underwent bilateral TKA achieved the best improvement of knee function. The complication rate increased with the patients' age. Conclusions TKA predictably alleviates knee pain and restores knee function. Aging itself does not compromise clinical results of TKA However perioparafive complication into is a little bit higher in aged patient group and simultaneously bilateral TKA patient group.