双侧髋关节同期置换与分期置换的临床疗效对比分析

目的对比双侧髋关节同期置换和分期置换的临床疗效。方法选择2005年6月-2008年12月行双侧髋关节置换术的50例患者分为两组：同期组30例（60个髋），分期组20例（40个髋）。比较两组手术时间、总出血量、总输血量、住院费用、术前和术Harris评分及手术并发症等方面的差异。结果两组在总输血量、术前和术后Harris评分间差异无统计学意义（P〉0．05），但两组在总手术时间、总出血量、总住院时间和总住院费用方面差异有统计学意义（P〈0．05）。结论同期双侧全髋关节置换术安全可行，对患者和医院均有益处。

Comparison of Clinical Efficacy between One-Stage and Two-Stage Bilateral Total Hip Arthroplasty

Objective To compare the clinical efficacies of one-stage and two-stage total hip arthroplasty in patients with bilateral hip disease. Methods A total 50 patients, who received bilateral hip arthroplasty from June 2005 to December 2008, were divided into two groups: group A of 30 patients (60 hips) who given one-stage operation, group B of 20 patients (40 hips) who were given two-stage operation. The times of operative duration, total amounts of bleeding, total volumes of blood transfusion, costs of hospitalization, preoperative and postoperative Harris scores, and surgical complications of the two groups were compared.Results The total volumes of blood transfusion, preoperative and postoperative Harris scores between the two groups showed no significantly statistical difference (P>0.05),but the total operative times of duration, total amounts of bleeding and costs of hospitalization were of significant differences (P<0.05).Conclusion The one-stage total hip arthroplasty is feasible and safe, with benefits for both patient and hospital.