同期与分期双侧全髋关节置换术的疗效比较

摘要

Objective To investigate short-term clinical efficacy and safety in bilateral total hip arthroplasty( THA) between same or different stages. Methods Sixty-four patients who underwent bilateral THA were divided into two groups according to the ASA grade. Group A with 34 patients were implemented simultaneous bilateral THA, group B (30 cases)were implemented with staging bilateral THA. The perioperative clinical indicators and complications oc-currence of both groups were compared. Results All the patients were followed up for 12~18 months. There were no significant differences between the two groups in operative time and intraoperative blood loss ( P>0. 05 ); length of stay, off-bed ambulation time and hospital costs of group A were significantly lower than the group B, the difference was statistically significant (P<0. 05). There was no significant difference in the complication incidence rate of two groups (P>0. 05). Postoperative function of two groups were all improved obviously(P<0. 05), but there was not significant difference between two groups ( P>0. 05 ) . Conclusions Concomitant bilateral THA is safe and effec-tive, saving medical resources, but the patient′s body condition should be allowed to control the perioperative man-agement.%目的：探讨同期与分期双侧全髋关节置换术( THA)的疗效及安全性。方法手术治疗64例双侧THA患者按照ASA评级分为两组,A组34例行同期双侧THA,B组30例行分期双侧THA。比较两组各项临床指标和并发症发生情况。结果患者均获得随访,时间12~18个月。两组手术时间及术中失血量差异无统计学意义(P >0．05)；住院时间、下地活动时间及住院费用 A 组均明显低于 B 组,差异有统计学意义(P <0．05)。两组并发症发生率比较差异无统计学意义(P>0．05)；两组术后功能均较术前明显改善(P<0．05),两组之间比较差异无统计学意义(P>0．05)。结论同期行双侧THA安全有效,节约医疗资源,但需患者身体条件允许且应控制好围手术期管理。