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1、同期双侧全觥关节置换术的临床观察作者：王培信，庄永，丿寥春來，秦辉，曾波，谢逸波作者单位：广东潮州解放军188医院创伤外科，广东潮州521000；四川省成都市第三人民医院骨科，四川成都610031【摘要】目的探讨同期双侧人工全锻关节置换术的疗效。方法2000年8月至2005年3月，对10例(20競)患者行双侧全競关节置换术。其小男8例16髓，女2例4鞭；年龄25〜65岁，病程1〜30年(平均4.8年)。术前髓关节Hairis评分12〜45分，平均27分。其屮7例采用SmithPeterson切口，3例采用后
2、路Moore切口。手术时间为3.4~5.5h,平均4.5h,术屮输血600〜1600mL,平均1000mL。结果10例均获6个月〜5年3个月，平均18个月随访，瓠关节术后Harris评分7()〜1()()分，平均86分，较术前平均提高59分(27〜86分)，差异冇统计学意义(PV0.05)。除1例患者于术后1个刀因心脏病死亡外，其余患者术后均无感染、肺栓塞、深静脉栓塞、假体松动、假体下沉及脱位等并发症发生。患者均能独立行走，自理生活。结论同期双侧人工全儀关节置换术是一种安全冇效的手术，充分的术前准备，慎重选
3、择病例，严格的假体安装标准，有效地风险防范是手术成功的关键。【关键词】股骨头缺血坏死；諛关节骨关节炎；双侧；全锻关节置换术ClinicalCasesReportofSimultaneousBilateralTotalHipArthroplastyWANGPcixin,ZHUANGYong,LIAOChunlai,etal(DepartmentofOrthopaedics,Chaozhou188HospitalofPLA,Chaozhou521000,China)Abstract：ObjectiveTostu
4、dytheeffectofsimultaneousbilateraltotalhiparthroplastyinasequentialprocedure・MethodsTenpatients(8man,2women；agefrom25to65years)wereindicatedforbilateialtotalhiparthroplasty(THA)simultaneouslyfromAugust2000toMarch2005・Theircoursesofdiseasewererangedfrom1〜30
5、years(meanyears.4.8)・SevencasesweredonewithSmithPetersonincisionandthreecasesweredonewithMooreincision.Theoperativetimewenton3hours25minutesto5hours(meantime,4hours10minutes)・Thevolumeofbloodtransfusionduringoperationwas600to1600mL(meanvolume,1000mL).Theyw
6、ereanalyzedwithHarrisscoresofthejointfunctionclinically(hipscoreofHospitalforSpecialSurgery)-Theirpreoperativescoreswere12to45points(meanscore,27points).ResultsAllthe10patientswereavailableforreview.Withanaverageof18months(range,6monthsto5yearsand3months)f
7、ollowup,Harrisscoresofthejointfunctionwithin70to100points(86pointsonaverage)weresignificantlyimprovedmorethan59pointscomparedtheirpreoperativescorcs(P<0.05).Exceptedonlyonepatientdiedofacutemyocardialinfarctionwithinthefirstpostoperativemonth,therewerewith
8、outanyseverecomplicationscameforth,suchaspostoperativeinfection,pulmonaryembolism(PE),anddeepvenousthrombosis(DVT).Allthepatientswerestillambulantinthecommunityandgameddailylivingabilities.ConclusionSimultane
