70岁及以上患者膝关节表面置换术围手术期并发症的处理及疗效分析

Complication analysis of the total kneel replacement in 70-year-old and over elderly

目的 探讨 70岁及以上患者膝关节表面置换术围手术期常见并发症的处理及疗效评价。 方法 回顾性分析 2 0 0 2年 1～ 12月 70岁以上患者 10 9例 16 8个膝行膝关节表面置换术围手术期的临床资料。 结果 10 9例全部安全度过围手术期 ,术后早期并发症发生率为 31 2 %。根据美国膝关节外科学会 (HSS)膝评分标准 ,由术前的 2 6 1分提高到术后出院时的 82 0分 ,功能评分由术前的 32 1分提高到术后出院时的 89 1分。 结论 70岁以上患者虽然并发症较多 ,围手术期风险大 ,但如果能重视风险防范 ,手术熟练 ,尽量减少不必要的损伤 ,可以顺利经受手术并获得满意的临床治疗效果。

Objective In order to study the clinical complications during peri-operation period of total kneel replacement (TKR) in patients with age of 70 years old and over and improve the effectiveness of the treatment Methods One hundred and nine patents with 168 knees treated by TKR from January to December 2002 were reviewed. Results All patients were safe during peri-operation period. The rate of early-stage postoperation complications was up to 31.2%. Hospital for special surgery (HSS) knee score and function score was risen respectively from 26.1 to 82.0 and form 32.1 to 89.1 pre-operation and postoperation. Conclusions Although the high risk and more complications of TKR in patients over 70 years old, the TKR operation is secure and satisfactory results can also be achieved if we do the operation skillfully and reduce the unnecessary injury by paying enough attention.