中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
27期
24-25
,共2页
髋关节置换术%骨水泥%使用状况
髖關節置換術%骨水泥%使用狀況
관관절치환술%골수니%사용상황
Hip replacement%Bone cement%Service condition
目的：基于本院髋关节置换术中骨水泥使用情况，探讨其临床疗效。方法：2006年5月-2014年5月收治股骨骨折患者692例，作为研究对象，回顾性分析其临床诊疗资料。结果：术后随访600例患者，两组各300例，骨水泥组有1例假体关节脱位，无返修病例，术后无切口感染及血栓病例。生物型组有9例假体关节脱位，返修病例11例，术后感染15例。随访对象中，骨水泥组168例(56.00%)对手术持满意态度，持尚可态度130例(43.33%)，不满意2例(6.67%)。生物型组满意99例(33.00%)，尚可157例(52.33%)，不满意44例(14.67%)。两组术后满意度相比较，差异具有统计学意义(P＜0.05)。结论：骨水泥应用于髓关节置换术成本低，可减轻患者经济负担，且疗效好，预后效果佳，有临床推广的意义。
目的：基于本院髖關節置換術中骨水泥使用情況，探討其臨床療效。方法：2006年5月-2014年5月收治股骨骨摺患者692例，作為研究對象，迴顧性分析其臨床診療資料。結果：術後隨訪600例患者，兩組各300例，骨水泥組有1例假體關節脫位，無返脩病例，術後無切口感染及血栓病例。生物型組有9例假體關節脫位，返脩病例11例，術後感染15例。隨訪對象中，骨水泥組168例(56.00%)對手術持滿意態度，持尚可態度130例(43.33%)，不滿意2例(6.67%)。生物型組滿意99例(33.00%)，尚可157例(52.33%)，不滿意44例(14.67%)。兩組術後滿意度相比較，差異具有統計學意義(P＜0.05)。結論：骨水泥應用于髓關節置換術成本低，可減輕患者經濟負擔，且療效好，預後效果佳，有臨床推廣的意義。
목적：기우본원관관절치환술중골수니사용정황，탐토기림상료효。방법：2006년5월-2014년5월수치고골골절환자692례，작위연구대상，회고성분석기림상진료자료。결과：술후수방600례환자，량조각300례，골수니조유1례가체관절탈위，무반수병례，술후무절구감염급혈전병례。생물형조유9례가체관절탈위，반수병례11례，술후감염15례。수방대상중，골수니조168례(56.00%)대수술지만의태도，지상가태도130례(43.33%)，불만의2례(6.67%)。생물형조만의99례(33.00%)，상가157례(52.33%)，불만의44례(14.67%)。량조술후만의도상비교，차이구유통계학의의(P＜0.05)。결론：골수니응용우수관절치환술성본저，가감경환자경제부담，차료효호，예후효과가，유림상추엄적의의。
Objective:On the basis of bone cement service condition in hip replacement,to explore its clinical curative effect. Methods:692 cases with femoral fracture were selected from May 2006 to May 2014 as the research objects.Their clinical diagnosis and treatment data were retrospectively analyzed.Results:600 cases had postoperative follow-up,and two groups had 300 cases in each.The bone cement group had 1 case of prosthetic joint dislocation,no overhaul cases,no wound infection and thrombosis cases postoperation.The biological type group had 9 cases of prosthetic joint dislocation,11 cases of overhaul cases,15 cases of postoperative infection.In the follow-up objects,168 cases(56.00%) had satisfactory attitude on the operation in the bone cement group;130 cases(43.33%) had tolerableness attitude;2 cases(6.67%) had dissatisfaction.In the biological type group,99 cases(33.00% ) had satisfaction;157 cases(52.33% ) had tolerableness;44 cases(14.67% ) had dissatisfaction.The postoperative satisfactions of two groups were compared,and the differences was obvious with statistical significance (P<0.05).Conclusion:Applying bone cement in hip replacement has low cost.It can reduce the economic burden of the patients,and the curative effect is good.The prognosis effect is good.It has clinical significance.
