黄远翘 梁胜根 张敏 江门市中心医院骨科，广东 江门 529070 临床骨科杂志 1999 0 2 2


    关键词：脑血管意外； 髋假体； 髋脱位 期刊 lcgkzz 0 诊疗经验 fur -->


    

【摘要】 目的 探讨脑血管意外患者行人工髋关节置换术后产生并发症的原因及防治措施。方法 采用人工髋关节置换术治疗脑血管意外患者12例,分析其术后出现并发症的原因，并提出预防措施。结果 平均随访2年3个月,近期无痛或轻微痛关节10个，关节功能明显改善9个, 术后发生并发症5例,其中关节脱位4例(后发生异位骨化1例、髋痛2例),假体松动1例。结论 脑血管意外患者因髋部疾病致功能障碍而行髋关节置换手术者术后关节脱位发生率较高；术后不宜过早负重下地活动；加强康复训练是手术成功的重要因素之一。

    【中图分类号】 R743.3；R687.42

Causes and prevention ofpostoperative complications of artificial hip joint replacement in patients followingcerebrovascular accident

Huang Yuanqiao, Liang Shenggen,Zhang Min

(Department of Orthopaedics,Jiangmen Central Hospital, Jiangmen, Guangdong 529070)

【Abstract】 Objective To study the causes and treatment of postoperativecomplications in cerebrovascular accident (CVA) patients with hip joint replacement. Methods 12 cases of CVA weretreated by artificial hip joint replacement. 8 cases and 4 cases had total hip and femoralhead arthroplasty respectively. Results The average follow-up was 2 years and 3 months. There were10 joints without pain recently or with slight pain and 9 joints with obvous improvementof their functions. There were 5 patients with complications. 4 cases had dislocation(2cases complained of pain in hip joint and 1 case had the loosening of the prosthesis), and1 case appeared heterotopic ossification after operation. Conclusion Prosthesis dislocation occursmore frequently in CVA patients with hip joint replacement. It is important not to walkimmediately after operation. Rehabilitation training through the course of the disease isthe key to reducing complications.

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