在双边部和膝关节关节整形手术中早期的术后并发症和输血风险:一项回顾性研究
Antoine Outrequin1,2, Hannes Vermue3, Gérald Delfosse4
1Hôpital de la Croix-Rousse, Lyon, France. antoine_outrequin@hotmail.fr.
International orthopaedics
|December 4, 2025
概括
单阶段双边关节和膝关节置换是安全的,并发症率低. 单间膝关节整形术 (UKA) 显示没有早期并发症或需要输血,突出其可靠性.
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.
- 患者安全 患者安全
背景情况:
- 同时双边假肢部或膝盖置换是一个越来越常见的程序.
- 评估早期并发症和输血率对于患者安全和优化外科手术方案至关重要.
研究的目的:
- 评估早期并发症率和在单次双边全关节整形手术 (THA),全膝关节整形手术 (TKA) 和单隔膝关节整形手术 (UKA) 后进行术后输血的需要.
主要方法:
- 一项对285名在2020年至2024年期间接受单阶段双边THA,TKA或UKA治疗的患者的回顾性审查.
- 收集的数据包括患者人口统计,美国麻醉学会 (ASA) 评分,早期并发症 (在两个月内) 和输血需求.
主要成果:
- 整体早期并发症率为2.5% (7/285),在UKA组没有报告任何并发症.
- 术后输血率为4.6% (13/285),与THA和TKA相比,UKA组的输血率明显较低.
- 没有死亡,深静脉血栓塞,肺栓塞或手术部位感染发生.
结论:
- 单阶段双边部和膝盖关节整形术是一种安全的手术,早期并发症的发生率很低.
- 单间膝关节整形术 (UKA) 是双边手术的可靠和安全选择,没有早期并发症或输血需求.
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