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[1]全華山,馬少云,李顯澎.髖關(guān)節(jié)置換術(shù)后異位骨化的特征及相關(guān)因素分析[J].中醫(yī)正骨,2013,25(01):49-50.
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髖關(guān)節(jié)置換術(shù)后異位骨化的特征及相關(guān)因素分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年01期
頁碼:
49-50
欄目:
關(guān)節(jié)置換
出版日期:
2013-01-20

文章信息/Info

作者:
全華山馬少云李顯澎
廣東省中醫(yī)院珠海醫(yī)院,廣東 珠海 519015
關(guān)鍵詞:
骨化異位性 關(guān)節(jié)成形術(shù)置換髖 手術(shù)后并發(fā)癥
摘要:
目的:分析髖關(guān)節(jié)置換術(shù)后異位骨化的特征及相關(guān)因素。方法:觀察分析101例行髖關(guān)節(jié)置換術(shù)患者的HO發(fā)生情況,男33例,女68例。年齡22~89歲,中位數(shù)66歲。手術(shù)原因:股骨頸骨折64髖,股骨頭無菌性壞死31髖,類風(fēng)濕關(guān)節(jié)炎5髖,強(qiáng)直性脊柱炎2髖,其他髖部疾患6髖。合并癥:高血壓病17例,冠心病7例,糖尿病15例,腦梗塞4例,肺部疾患7例。結(jié)果:本組101例患者行髖關(guān)節(jié)置換108髖,其中全髖關(guān)節(jié)置換51例56髖,股骨頭置換50例52髖。術(shù)后8例8髖發(fā)生異位骨化,男5例,女3例; 年齡41~89歲,中位數(shù)73歲; 手術(shù)原因:股骨頸骨折5例,股骨頭環(huán)死2例,髖關(guān)節(jié)置換術(shù)后翻修1例; 全髖關(guān)節(jié)置換5例,股骨頭置換3例; 異位骨化發(fā)生時(shí)間為術(shù)后28~50 d,中位數(shù)40 d; 發(fā)生于小轉(zhuǎn)子者6例,發(fā)生于大轉(zhuǎn)子者2例; 按Brooker分型,Ⅰ型5例,Ⅱ型1例,Ⅲ型2例。結(jié)論:髖關(guān)節(jié)置換術(shù)后異位骨化的發(fā)生率較低,男性患者髖關(guān)節(jié)置換術(shù)后更容易發(fā)生異位骨化,小轉(zhuǎn)子部是異位骨化的好發(fā)部位。

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更新日期/Last Update: 2013-01-20