Ⅰ期双侧人工全髋关节置换术治疗髋关节疾患16例临床疗效分析

One-stage bilateral total hip arthroplasty for the treatment of hip disease

目的探讨Ⅰ双侧全髋关节置换术（SBTHA）治疗双侧髋关节疾患的临床疗效。方法 2005年10月至2010年12月对16例双侧髋关节病变患者采用ⅠTHA治疗。患者年龄39～74岁,平均59.1岁;术前Harris评分平均46.2分（32～62分）。结果手术时间2.6～4.2 h,平均3.2 h;术中出血620～1 200 ml,平均860 ml;术中输血800～1 200 ml,平均1 000 ml。术后X线平片示假体位置良好。16例术后平均随访22个月,关节功能Harris评分平均82分（78~92分）。结论应用Ⅰ双侧THA冶疗双侧髋关节疾患,安全且近期疗效满意,可以缩短住院时间,减轻患者痛苦及经济负担,值得推广应用。临床中应注意病例选择,严格掌握手术适应证,系统规范地做好术前、术中、术后处理。

Objective To evaluate the feasibility and therapeutic effect of one-stage bilateral total hip arthroplasty（SBTHA）in treating hip disease.Methods Sixteen cases of hip disease were treated by SBTHA between October 2005 and December 2010.Their average age was 59.1（ranged from 39 to 74）.The mean Harris score was 46.2 preoperatively（ranged from 32 to 62）.Results The average time of operation was 3.2 h（2.6~4.2 h）.The average blood loss was 860ml（620~1 200 m1）,blood transfusion was 1 000 ml（800~1 200 m1）.The X-ray after operation showed that the prostheses were in good places.Sixteen patients were followed up for 4 to 42 months（averaged 22 months）;The Harris score of hip function was 82 on average（78~92）.Conclusion SBTHA is safe and satisfactory for the treatment of hip disease.It can shorten hospitalization,relieve patient＇s distress,and alleviate their economic burden.It is worth recommending for the bilateral hip disease.However selecting of cases should be carefully,operation indications should strictly be considered,and preoperative preparations sufficiently made.