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Ⅰ THA治疗.患者年龄39～74岁,平均59.1岁;术前Hands评分平均46.2分(3262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 nil;术中输血8001 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Hams评分平均82分(78～92分).结论 ～应用Ⅰ双侧TMA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 rnhip disease. Methods Sixteen cases of hip disease were treated by SBTHA between October 2005 and December 2010.Their average age rnwas 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 operarntion was 3.2 h( 2.6～4.2 h ).The average blood loss was 860m1( 620～ 1 200 m 1 ), blood transfusion was 1000 nl( 800～ 1200 m 1 ).The X-ray after oprneration showed that the prostheses were in good places. Sixteen patients were followed up for 4 to 42 months (averaged 22 months) ;The Harris rnscore of hip function was 82 on average (78～92). Conclusion SBTHA is safe and satisfactory for the treatment of hip disease. It can shorten rnhospitalization, relieve patientˊs distress,and alleviate their economic burden. It is worth recommending for the bilateral hip disease. However rnselecting of cases should be carefully, operation indications should strictly be considered, and preoperative preparations sufficiently made.
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