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骨水泥对全髋置换术后深静脉血栓形成的影响 被引量:8

Effect of cement on the formation of deep venous thrombosis in patients receiving total hip replacement.
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摘要 目的 探讨骨水泥对全髋置换术后深静脉血栓 (DVT)形成的作用。方法 回顾分析全髋置换术患者 181例 (183髋 ) ,其中骨水泥组 10 2例 (10 3髋 ) ,非骨水泥组 79例 (80髋 )。结果 骨水泥组 34例发生深静脉血栓 ,发生率为33.33% ,非骨水泥组 5例发生深静脉血栓 ,发生率为 6 .33% ,两组比较差异有显著性 (P<0 .0 5 )。结论 骨水泥能增加全髋置换术后深静脉血栓的发生率 ,全髋置换时应尽量不用骨水泥 ,必需时应做好术前。 Objective To investigate the effect of bone cement on the formation of deep venous thrombosis(DVT)in patients receiving total hip replacement(THR).Methods Patients receiving THR were retrospectively analyzed.Among them,there were 102 patients receiving cemented total hip replacement and 79 patients receiving uncemented total hip replacement.Results 34(33.33%) of 102 patients receiving cemented total hip replacement and 5(6.33%) of 79 patients receiving uncemented total hip replacementdeveloped deep Vein thrombosis.There was significant difference betweew the two groups( P <0.05).Conclusion Bone cement may increase the incidence of deep vein thrombosis in patients receiving total hip replacement,and therefore should be avoided.If it is mandatory measures should be taken to prevent the formation of deep vein thrombosis before?during and after operation.
机构地区 四川省人民医院
出处 《四川医学》 CAS 2002年第8期798-799,共2页 Sichuan Medical Journal
关键词 骨水泥 全髋置换术 深静脉血栓形成 DVT Bone cement Total hip replacement Deep venous thrombosis
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参考文献8

  • 1[1]Mulroy RD, et al. Acetabular and femoral fixation 15 years after cemented total hip surgery. Clin Orthop, 1997, (337): 118 被引量:1
  • 2[2]Francis CW,et al. Prevention of venous thrombosis after total hip arthroplasty. Antithrombin and low-dose heparin compared with dextran 40. J Bone Joint Surg Am,1989,71(3):327 被引量:1
  • 3[3]Clarke MT,et al. Cement as a risk factor for deep vein thrombosis. J Bone Joint Surg Br,1998,80(5):611 被引量:1
  • 4[4]Christie TM,et al. Echocardiography of transatrial embolism during cemented and uncemented hemiartheroplasty of the hip. J Bone Joint Surg Br,1994,76(3):409 被引量:1
  • 5[5]Stamatakis JD, et al. Femoral vein thrombosis and total hip replacement. Br Med J,1997,2(2):223 被引量:1
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