医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
15期
2877-2878,2881
,共3页
闫金峰%张香兰%张培旭%衣学起%李国栋%郝三海
閆金峰%張香蘭%張培旭%衣學起%李國棟%郝三海
염금봉%장향란%장배욱%의학기%리국동%학삼해
双侧全髋关节置换术%同期%分期
雙側全髖關節置換術%同期%分期
쌍측전관관절치환술%동기%분기
Bilateral total hip arthroplasty%Simultaneous%Staged
目的:比较同期与分期双侧全髋关节置换术对短期临床疗效的影响。方法选取2013年2月至2014年3月在临朐县人民医院诊治的双侧全髋关节置换术患者48例(96个关节),按照随机数字表法分为同期组(24例)和分期组(24例)。同期组进行同期双侧全髋关节置换术,分期组给予分期双侧全髋关节置换术。比较两组患者的手术时间、总出血量、总输血量、总住院时间、总住院费用以及Harris评分和手术后并发症发生情况。结果两组患者的手术时间、总出血量、总输血量以及Harris评分比较差异无统计学意义( P>0.05)。同期组总住院时间、总住院费用均少于分期组,差异有统计学意义(P<0.01)。同期组总并发症发生率高于分期组(37.5%比8.3%),差异有统计学意义(χ2=4.45,P<0.05)。结论行同期双侧全髋关节置换术较行分期双侧全髋关节置换术具有住院时间短、住院费用低、术后恢复快等优点,而分期双侧全髋关节置换术具有较低的并发症发生率,应视患者的病情及经济情况合理应用。
目的:比較同期與分期雙側全髖關節置換術對短期臨床療效的影響。方法選取2013年2月至2014年3月在臨朐縣人民醫院診治的雙側全髖關節置換術患者48例(96箇關節),按照隨機數字錶法分為同期組(24例)和分期組(24例)。同期組進行同期雙側全髖關節置換術,分期組給予分期雙側全髖關節置換術。比較兩組患者的手術時間、總齣血量、總輸血量、總住院時間、總住院費用以及Harris評分和手術後併髮癥髮生情況。結果兩組患者的手術時間、總齣血量、總輸血量以及Harris評分比較差異無統計學意義( P>0.05)。同期組總住院時間、總住院費用均少于分期組,差異有統計學意義(P<0.01)。同期組總併髮癥髮生率高于分期組(37.5%比8.3%),差異有統計學意義(χ2=4.45,P<0.05)。結論行同期雙側全髖關節置換術較行分期雙側全髖關節置換術具有住院時間短、住院費用低、術後恢複快等優點,而分期雙側全髖關節置換術具有較低的併髮癥髮生率,應視患者的病情及經濟情況閤理應用。
목적:비교동기여분기쌍측전관관절치환술대단기림상료효적영향。방법선취2013년2월지2014년3월재림구현인민의원진치적쌍측전관관절치환술환자48례(96개관절),안조수궤수자표법분위동기조(24례)화분기조(24례)。동기조진행동기쌍측전관관절치환술,분기조급여분기쌍측전관관절치환술。비교량조환자적수술시간、총출혈량、총수혈량、총주원시간、총주원비용이급Harris평분화수술후병발증발생정황。결과량조환자적수술시간、총출혈량、총수혈량이급Harris평분비교차이무통계학의의( P>0.05)。동기조총주원시간、총주원비용균소우분기조,차이유통계학의의(P<0.01)。동기조총병발증발생솔고우분기조(37.5%비8.3%),차이유통계학의의(χ2=4.45,P<0.05)。결론행동기쌍측전관관절치환술교행분기쌍측전관관절치환술구유주원시간단、주원비용저、술후회복쾌등우점,이분기쌍측전관관절치환술구유교저적병발증발생솔,응시환자적병정급경제정황합리응용。
Objective To compare the impact of bilateral total hip arthroplasty by simultaneous or staged procedures on the short-term clinical efficacy .Methods A total of 48 cases ( 96 joints ) receiving bilateral total hip arthroplasty admitted to Linquxian People′s Hospital from Feb.2013 to Mar.2014 were included and divided into two groups:simultaneous group(24 cases) and staged group (24 cases) according to random number table method.Simultaneous group received simultaneous bilateral total hip arthroplasty , while staging group received staged bilateral total hip arthroplasty.The operation time,total amount of bleed-ing,blood transfusion,the total length of stay,total hospital costs,the Harris scores,and perioperative compli-cations(infection,pulmonary embolism,deep venous thrombosis,prosthesis loosening and dislocation,and two leg length discrepancy) were compared.Results The operation time,the total amount of bleeding,total amount of transfustion and the Harris scores were not statistically significantly different ( P >0.05 ) .Total hospitalization time,total hospital costs of the simultaneous group were lower than the staged group ,the differ-ence was statistically significant ( P <0.01 ) .Total complication rate of the simultaneous group was higher than staged group(37.5% vs 8.3%),the difference was statistically significant(χ2 =4.45,P <0.05). Conclusion The simultaneous bilateral total hip arthroplasty has the advantages of shorter hospital stay ,fas-ter recovery after surgery,while the staged bilateral total hip arthroplasty has the advantage of low complica-tion rate.A rational approach should be chosen depending on the patient′s illness and economic condition.