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晚期髋关节结核的非骨水泥全髋关节置换
被引:6
作者:

沈灏
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机构: 上海交通大学附属第六人民医院关节外科

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张先龙
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机构: 上海交通大学附属第六人民医院关节外科

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王琦
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机构: 上海交通大学附属第六人民医院关节外科

陈云苏
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机构: 上海交通大学附属第六人民医院关节外科

邵俊杰
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机构: 上海交通大学附属第六人民医院关节外科
机构:
[1] 上海交通大学附属第六人民医院关节外科
来源:
关键词:
关节成形术,置换,髋;
结核,骨关节;
D O I:
暂无
中图分类号:
R687.4 [关节手术];
学科分类号:
摘要:
目的评估非骨水泥全髋关节置换治疗晚期髋关节结核的临床效果。方法上海交通大学附属第六人民医院关节外科2004年7月至2008年9月,共晚期髋关节结核病例行全髋置换术14例,男8例,女6例。术前有1例存在开放性窦道,3例存在陈旧性已闭合窦道瘢痕。术前C反应蛋白(CRP)和红细胞沉降率(ESR)正常者未行术前抗结核治疗;CRP升高、ESR升高者给予术前抗结核治疗2周后再手术。14例中有12例采用一期彻底清创,非骨水泥假体全髋置换,其中1例髋关节高脱位,行粗隆下截骨。另2例术中发现结核,而术前未行抗结核治疗或病灶范围较广泛对彻底清创没有把握,采用间隔物植入,6~8个月后二期置换非骨水泥假体。所有病例术后均采用抗结核药物治疗6个月。结果术后随访平均49(27~77)个月,HSS评分从术前平均36分到术后最后一次随访平均87分。1例患者术后7个月出现结核复发,行清创术并去除假体做关节成形,其余13例没有发现结核复发、感染、脱位、骨折和神经血管损伤等并发症。终末随访没有发现进展性的透亮线或腔隙等假体松动的迹象。结论非骨水泥人工全髋关节置换是治疗晚期髋关节结核的有效方法 。
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页码:2456 / 2459
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