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合并系统性红斑狼疮的股骨头坏死患者行全髋关节置换术的疗效评估 被引量：7

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摘要 目的评估合并系统性红斑狼疮(SLE)的股骨头缺血性坏死患者行全髋关节置换术的疗效,并探讨其临床特点及围手术期处理。方法对12例(15髋)因股骨头缺血性坏死而行全髋关节置换术的SLE患者的随访资料进行评估。结果 12例患者Harris评分由术前的(57±6)分提高至随访时的(90±4)分(P<0.05),VAS评分由术前的(7.8±1.1)分降低到随访时的(1.2±0.5)分(P<0.05),术后疼痛时间为(3.3±1.6)周。术后扶拐行走时间为(2.3±1.2)个月,随访时均不需扶拐行走。末次随访时关节屈曲及外展较术前有明显改善。未见骨溶解及假体松动病例。3髋出现异位骨化(Brooker 1级)。1髋切口出现切口愈合不良,经换药等处理后3周时愈合。1髋术后1周脱位。8例对手术结果表示很满意,4例对手术结果表示满意。结论在围手术期充分准备的前提下,全髋关节置换术能明显提高SLE患者的生活质量,总体疗效令人满意。
作者 郭予立 胡奕山 林本丹
机构地区 广东省汕头市中心医院骨科
出处 《广东医学》 CAS CSCD 北大核心 2013年第19期2984-2986,共3页 Guangdong Medical Journal
关键词 系统性红斑狼疮 股骨头坏死 人工关节
分类号 R687.4 [医药卫生—骨科学]
  • 相关文献

参考文献8

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二级参考文献16

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共引文献219

同被引文献49

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引证文献7

二级引证文献13

广东医学
2013年 第19期

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