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人工髋关节置换术早期并发症35例临床分析
引用本文:刘世清,马永刚,王钢.人工髋关节置换术早期并发症35例临床分析[J].华中医学杂志,2002,26(4):183-184.
作者姓名:刘世清  马永刚  王钢
作者单位:430060,武汉,武汉大学人民医院骨科
摘    要:目的 探讨人工髓关节置换术早期并发症的防治。方法 回顾性分析了826例人工髓关节置换术病例,其中股骨头置换组664例,全髋关节置换组162例。总结了早期并发症的临床特点及防治措施。结果 35例(4.2%)患者出现早期并发症,其中早期伤口浅层感染2例;脱位2例;股骨上段劈裂5段;下肢深静脉栓塞26例。结论 严格手术适应证,正确手术操作,强调术前准备和术后处理是减少早期并发症发生的关键。

关 键 词:人工髓关节置换术  并发症  感染  脱位  股骨上段劈裂  下肢深静脉栓塞
修稿时间:2002年5月27日

Early complication following artificial hip joint replacement-A report of 35 cases
Liu Shiqing,Ma Yonggang,Wang Gang.Early complication following artificial hip joint replacement-A report of 35 cases[J].Central China Medical Journal,2002,26(4):183-184.
Authors:Liu Shiqing  Ma Yonggang  Wang Gang
Institution:Liu Shiqing,Ma Yonggang,Wang Gang. Department of Orthopedics,Renmin Hospital of Wuhan University,Wuhan 430060
Abstract:Objective To study the prevention and treatment of early complications following artificial hip joint replacement.Methods 826 cases of artificial hip joint replacement, including 664 cases of femoral head replacement and 162 cases of total hip replacement, were analyzed retrospectively. The clinical features and prevention measures of early complications were summarized.Results Early complications were found in 35 patients (4.2%): Infection at superficial part in 2 cases, dislocation in 2 cases, fracture at upper femur in 5 cases, and lower limb phlebothrombosis in 26 cases.Conclusion The keys to reduce early complications are strict indication, correct operation and emphasis of treatment before and after operation
Keywords:Artificial hip joint replacement\ Complication  Early
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