Metasul 非骨水泥金属对金属全髋关节置换随访报告.doc

Metasul 非骨水泥金属对金属全髋关节置换随访报告
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作者:李朋,史占军,管明强,肖军,王健
【摘要】[目的]探讨Metasul非骨水泥金属对金属全髋关节假体在人工全髋关节置换术中的应用效果。[方法]对本科于2003年8月-2005年12月行Metasul非骨水泥金属对金属人工全髋关节置换术25例(30髋)患者进行了随访。包括临床评估和放射学评估,并检测血铬浓度和肾功能情况。[结果]23例28髋获得随访,(~)。。3髋(%)形成透亮带;1髋股骨形成局灶性骨溶解。1例术中坐骨神经受损,。1例糖尿病患者血糖未控制理想,术后4年发生假体周围感染但X线检查未见松动迹象。无一术后发生脱位、股骨骨折等并发症。 μg/L(~ μg/L),较正常参考值(、)无明显升高,未发现因血铬浓度升高导致的肾功能损害和癌症、白血病等恶性疾病。[结论]Metasul非骨水泥金属对金属全髋关节假体在人工全髋关节置换术中的效果令人满意,但有必要做进一步随访,以了解与金属对金属关节置换有关的任何不良反应。
【关键词】人工假体; 金属对金属; Metasul; 非骨水泥; 关节成形术; 置换; 髋
Abstract:[Objective]To investigate the es of cementless metasul metalonmetal total hip arthroplasty.[Method]Metasul metalonmetal total hip arthroplasty of 30 hips in 25 patients was performed from August 2003 to December were 11 males and 14 females with an average age of 47 years (28-72 years).Harris hip scores were determined before surgery and at the last followup radiographs were obtained to ponent samples were taken to determine serum chromium levels with use of atomic absorption spectrometry.[Result]Twentythree patients (28 hips) were followed up with a mean period of years (- years).The mean Harris hip score improved from (17-78) points preoperatively to 9