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印度老年患者同时进行双边全膝关节整形术的术后结果:一项回顾性研究

Yogesh Chaudhari¹, Ketankumar Thombare²

¹Department of Orthopedic Surgery and Joint Replacement Surgery, Nine Pearls Hospital, Nashik, Maharashtra, India.

Journal of orthopaedic case reports

|July 10, 2025

目标与目的:

本研究旨在探讨老年患者接受同期双侧全膝关节置换术（SBTKA）的围手术期结局。

材料与方法:

一项回顾性单中心观察性研究针对接受单侧全膝关节置换术（SBTKA）的老年患者（>70岁）开展，评估围手术期结局，包括心脏和肾功能障碍等并发症发生率、输血率以及总住院时间（LOS）。采用描述性统计方法对研究参数进行总结。

结果:

患者的平均住院时间为4.71天。共记录到38例不良事件。最常见的不良事件为急性肾损伤（17.16%）。住院时间与并发症之间，以及住院时间与输血需求之间均呈中等程度的正相关。住院期间需要输血的患者其住院时间为5.47天，长于无需输血的患者（4.45天）。合并慢性肾病的患者住院时间最长（5.10天），其次为帕金森病患者（5.00天）。不同年龄组之间的住院时间相对一致。

结论:

SBTKA 在配备重症监护支持的多学科医院中，对于70岁以上及合并多种基础疾病的患者而言，是一种安全且效果满意的手术方式。然而，当符合手术指征时若延迟手术，可能导致更差的功能预后，凸显了及时干预的重要性。

关键词:

关节质整术是指关节质整术.年长的老人老年人老年人.膝关节置换手术膝关节置换手术同时双边全膝关节关节整形手术

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