2型糖尿病患者实施THA的风险及近期疗效评价

Risk and short-term effect of THA in patients with type 2 diabetesmellitus

目的:探讨并评价2型糖尿病(TDM)患者实施全髋关节置换术的风险及疗效。方法:选取我院收治的67例实施全髋关节置换术(THA)的患者资料,将合并有TDM的30例患者设为观察组,其余37例患者设为对照组,比较两组患者的手术风险及近期疗效。结果:11年后随访,两组患者髋关节功能不具有统计学显著性意义(P<0.05);2两组患者手术时间、术中出血量、术后引流量、发生深部感染、术后发生深静脉血栓、术后髋关节功能以及假体影像学检查异常均无统计学差异(P<0.05),而拆线时间、术后是否输血、术中发生假体周围骨折、术后心血管异常表现、术后并发感染,两组存在统计学差异(P<0.05)。结论:对于合并糖尿病的全髋关节置换术患者围术期需要加强对患者的监护,以避免出现不良后果。

Objective： to evaluate the risk and effect of total hip arthroplasty in patients with type 2 diabetes mellitus. Methods： 67 patients admitted to our hospital implementation of THA patients, patients with DM 30 cases patients were divided into the observation group （group A）, the other 37 cases were set as control group, compared two groups of patients with surgical risk and curative effect in the near future. Results： ①1 year follow-up, two groups of patients with hip function does not have a statistically significant （P〉0.05） ②the two groups of patients with operation time, intraoperative bleeding volume, postoperative drainage volume, deep infection and postoperative occurrence of deep vein thrombosis, postoperative hip joint activities limited and phantom images ex- amination abnormalities were not statistically different （P~ 0.05）, and clearing time, postoperative whether blood transfusion and intraoperative periprosthetic fractures, postoperative cardiovascular abnormalities, postoperative infection occurred, the two groups exist significant difference （P〈0. 05）. Conclusion：the perioperative need for patients with total hip replacement surgery should strengthen the monitoring of the patients, so as to avoid the adverse consequences.