摘要
目的:探讨如何保证高龄股骨颈骨折患者人工髋关节置换术的围手术期安全。方法:采用经后路小切口人工髋关节置换术治疗75岁以上股骨颈骨折患者99例。术前积极治疗合并疾病,术后尽早行功能锻炼,围手术期根据需要予以输血治疗。结果:99髋中,全髋关节置换34例,人工双极头置换65例。31例(31.3%)接受输血,其中术后输血15例。围手术期无死亡病例,术后发生各种并发症8例(8.1%)。术后1周内91例(91.9%)患侧下肢可完成直腿抬高,95例(96%)可以利用助行器下地行走。结论:后路小切口髋关节置换术是治疗高龄股骨颈骨折的有效手段,充分的术前准备和及时、正确的术后处理,保证了整个围手术期的安全。
Objective：To investigate the safety of artificial hip replacement during the periopenative period in to aged patients with femoral neck fracture.Methods：99 cases who were old than 75 years with femoral neek fracture were treated by total hip arthroplasty through posteior approach.Combined disases were managed actively before operation and the functional exercises were done early after operation.Blood transfusium was performed acronling to patient＇s general condition during the perioprative period.Results：34 patients unlerwent total hip arthroplasty and 65 patients were treated with bipolar hip arthroplasty 31 patients （31.3%） were received blood transfusion during perioperative period.Complieations neeurred in 8（8%） cases after operation but no dead case.Straight leg raising could be perfouned in 91 patients （91.9%） and 95 cases （96%） could walk by the aid of walking aids within one week postoperatively.Conclusions：Minimally invasive hip arthroplasty combined with posterior approach is a effective way to treat those aged patients with femoral neck fracture.Well preoperative preparation and correct postopentive management cnsure the perinperative safety.
出处
《解剖与临床》
2006年第2期99-102,共4页
Anatomy and Clinics
关键词
高龄
小切口
髋关节置换
围手术期
输血
Aged
Minimally
invasive surgery
Hip arthroplasty
Perioperative period
Blood transfusion
