[1]冯尔宥△ 林飞太 苏联彬 张怡元 肖莉莉 王武炼 林丽琼 翁艳 林文韬 吴宇顺.直接前侧入路行髋关节置换术早期并发症的分析[J].中国中医骨伤科杂志,2018,26(07):58-60.
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直接前侧入路行髋关节置换术早期并发症的分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年07期
页码:
58-60
栏目:
临床报道
出版日期:
2018-07-02

文章信息/Info

文章编号:
1005-0205(2018)07-0058-03
作者:
冯尔宥1△ 林飞太1 苏联彬1 张怡元1 肖莉莉1 王武炼1 林丽琼1 翁艳1 林文韬1 吴宇顺1
1厦门大学附属福州第二医院关节外科(福州,350007)
关键词:
髋关节置换 直接前侧入路 早期并发症
分类号:
R687.4
文献标志码:
A
摘要:
目的:探讨直接前侧入路(DAA)行髋关节置换术早期并发症的原因及防治方法。方法:回顾分析2015年12月至2017年7月本院由同一主刀医生采用DAA行髋关节置换术200例(196个患者):其中男性92例,女性108例; 平均年龄59.2岁(38~89岁)。统计分析其术中及术后90 d之内的相关并发症。结果:200个病例中6例(3%)发生术中并发症,其中1例因发生股骨穿孔,5例(2.5%)发生股骨大转子骨折,4例(2%)为股骨大转子尖端骨折,1例为股骨干骺端骨折,改变体位选择后外侧入路行钢丝内固定术。共有42例(21%)发生术后并发症:31例(15.5%)为股外侧皮神经损伤,10例(5%)为术后切口愈合不良,1例发生假体周围感染。结论:DAA行髋关节置换术早期并发症发生率较高,特别是前50例,充分的手术训练可以降低相关并发症发生的风险。

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备注/Memo

备注/Memo:
基金项目:福建省自然科学基金(2017J01333) 通信作者 E-mail:Fey001@126.com
更新日期/Last Update: 2018-07-02