甲型血友病合并骨关节损伤的手术治疗

目的：探讨甲型血友病合并骨关节损伤的治疗方法。方法：回顾分析我院1980．1～2003．1收治的5例合并骨关节损伤的甲型血友病患者的术前及术中、术后的治疗，并随访平均11个月。结果：本组5例甲型血友病患者，轻型2例，中型2例，重型1例，均获骨性愈合。术中、术后无血肿、感染、内固定松动及断裂等并发症发生：结论：经术前、术中和术后的充分准备治疗，合并血友病的骨关节损伤患者，可以通过手术治疗，获得良好骨愈合。

The Surgical Treatment of Hemophilia Concomitant with Bone and Joint Injuries

Objective:To study the surgical treatmint of the patients having hemophilia concomitant with bone and joint injuries.Method:Analyzed of 5 a hemophilia concomitant with bone and joint injuries which were admitted from 1980,Jan.to 2003,Jan.The mean follow-up the was 11months.Results:According the classification of the hemophilia in 5 cases,1 severe,2 moderate,2 mild.All of the 5 cases had bony union during the follow-up period,no complication such as hematom?infection?loosening or broken of the internal fixation devices happened.Conclusion:For the patients having hemophilia concomitant with bone and joint injury,through carefully preparation before and after operation,excellent clinical result from surgical treatment could be expected.