同期双髋，单侧全髋关节置换治疗严重髋部疾病的临床比较.docVIP

同期双髋，单侧全髋关节置换治疗严重髋部疾病的临床比较 　　[摘要] 目的 分析同期双髋、单侧全髋关节置换治疗严重髋部疾病的临床效果。方法 2011年10月―2012年10月从该院的患者中随机抽取100例患者作为研究对象，随机分成两组，对照组的患者给予单侧全髋关节的置换，实验组的患者给予同期双侧的置换手术。结果 两组患者在术后并发症、手术时间、总的输血量、总的失血量、功能评分上差异无统计学意义（P0.05）。实验组的手术费用、住院时间、肢长差异上明显优于对照组，差异有统计学意义（P0.05）。结论 同期双侧髋关节置换术相较于分期对单侧的髋关节进行置换的手术，在住院的时间、住院的费用、手术的费用、肢长差异上都有优势。 　　[关键词] 同期双髋；髋关节；置换手术 　　[中图分类号] R684 [文献标识码] A [文章编号] 1674-0742（2015）06（a）-0073-02 　　Comparison Between Simultaneous Double Hip Replacement and Unilateral Total Hip Replacement in Treatment of Severe Hip Disease 　　ZONG Xiao-jun 　　Department of Orthopedic Surgery， Central Hospital of Hongxinglong Branch of Beidahuang Production and Construction Corps， Shuangyashan， Heilongjiang Province， 155811 China 　　[Abstract] Objective To analyze the clinical effect of simultaneous double hip replacement and unilateral total hip replacement for treatment of severe hip disease. Methods In October 2011 to October 2012， drawn from our hospital patients， 100 cases of patients as the research object， randomly divided into two groups， control group patients give unilateral total hip replacement， the experimental group patients give replacement surgery on both sides of the same period. Results Two groups of patients in the postoperative complications， operation time， the total amount of blood transfusion， the total blood loss， functional scores were not significantly difference， P 0.05.The experimental operation expenses， hospitalization time， limb length difference was better than control group， there are statistically significant， P 0.05. Conclusion During the same period compared with bilateral hip replacement stage of unilateral hip replacement surgery， in hospital time， hospitalization costs， operation costs， long limbs differences have advantages. 　　[Key words] Simultaneous Double Hip Replacement； The hip joint； Replacement surgery 　　髋关节疾病一般都是指双髋关节强直的疾病，主要有双侧髋关节骨性关节炎、缺血性坏死、强直性脊柱炎所引起的双髋关节强直、双侧股骨颈头下型骨折以及类风湿性关节炎。临床中，对于患有髋关节严重疾病的患者，通常都采取置换手术进行治疗[1]，2011年10月―2012年10