人工髋关节置换术后并发症及其防范
【摘要】目的分析人工髋关节置换术的术后并发症并探讨相应的防范对策。方法随访近10年来笔者所在医院人工髋关节置换术病例112例,观察术后并发症的发生率及类型并分析其原因，探讨相应的防范对策。结果随访患者中有28例出现了并发症。其中感染3例，髋关节脱位2例，下肢深静脉血栓形成和肺栓塞12例，股骨假体周围骨折4例,疼痛17例，假体无菌性松动6例,神经损伤1例。部分患者合并2种及以上并发症。结论人工髋关节置换术存在很多并发症，其中不乏人为失误造成，术前、术中、术后预防治疗措施可以有效减少并发症的发生。
【关键词】人工髋关节置换术；手术后并发症；防范Analysis on postoperative complications and precautionary measure of artificial hip replacement NIE Ming-jun.The Affiliated Hospital of Jiangsu University,Zhenjiang 212001,China
【Abstract】ObjectiveTo analyse the postoperative complications of artificial hip replacement and to discuss the precautionary measure.MethodsOne hundred twelve cases after artificial hip replacement were followed up within 10 years of writers hospital.ResultsAmong them,28 cases had complications,infection in 3 cases,dislocation of the hip in 2 cases,lower extremity deep venous thrombosis and pulmonary embolism in 12 cases,periprosthetic fractures in 4 cases,pain in 17 cases,loosening of prosthesis in 6 cases,nerve injury 2 cases.Some patients with two or more complications.ConclusionThere are many complications in artificial hip replacement,some are related to the skill of operation.Treatment measure by preoperative, period of operation,postoperative prevention can effectively reduce the incidence of complications.
【Key words】Artificial hip replacement；Postoperative complication； Precautionary measure随着医学技术的发展，人工髋关节置换术已成为治疗髋关节疾病的一种标准方法。关节置换手术的效果不容置疑，但随着手术数量的增加，应用范围的扩大，时间跨度的增宽，它的并发症却给这项良好的治疗技术的愈后带来不良的影响［1］。对笔者所在医...
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