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同时双边全膝关节整形术的并发症,这是一个安全的程序吗?

Tomás Alfredo Esteves¹, Martín Buljubasich¹, Fernando Holc¹

¹Department of Orthopedics and Traumatology, Sector of Knee Arthroscopy and Reconstruction Surgery, Hospital Italiano de Buenos Aires, Juan D. Peron 4190, CABA, CP: 1199, Buenos Aires, Argentina.

Journal of ISAKOS : joint disorders & orthopaedic sports medicine

|August 24, 2023

概括

同时双边全膝关节置换 (SBTKR) 是一种安全的手术,与单边全膝关节置换 (UTKR) 相比,没有增加的并发症. 虽然SBTKR显示出更高的血液流失和输血率,但它不会导致显著的临床症状.

科学领域:

整形外科手术整形外科手术
关节质整术是指关节质整术.
患者的治疗结果.

背景情况:

关于同时双边全膝关节置换 (SBTKR) 的结果存在争议.
文献显示,术后结果和与SBTKR相关的并发症存在差异.

研究的目的:

为了追溯分析输血需求和并发症.
比较SBTKR与单边全膝关节置换 (UTKR) 的结果.

主要方法:

对251名患有严重膝关节关节炎的患者进行了回顾性队列研究.
分为SBTKR (124名患者) 和UTKR (127名患者) 组.
评估人口统计数据,住院,90天并发症和输血率.

主要成果:

在SBTKR和UTKR组之间,90天术后并发症没有统计差异.
在SBTKR组中,血栓栓塞发生率较高 (6.5%对1.5%),血红蛋白水平显著下降 (0.8 g/dL).
在SBTKR组中,输血率较高 (40%对12.5%),其中32.2%的输血不符合标准.

结论:

与UTKR相比,SBTKR被认为是一种安全的程序,不会增加术后并发症.
在SBTKR中增加的血液损失似乎不会产生临床相关的症状.
对SBTKR患者的输血标准进行进一步调查是有必要的.

关键词:

失血是因为失去血液.输血输血输血输血输血输血输血复杂性复杂性复杂性同时进行双边全膝关节置换.

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