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年轻女性双极和全髋关节置换术后的临床结局及妊娠发生率。

Clinical outcome and incidence of pregnancy after bipolar and total hip arthroplasty in young women.

作者信息

Meldrum Russell, Feinberg Judy R, Capello William N, Detterline A J

机构信息

Department of Orthopedic Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.

出版信息

J Arthroplasty. 2003 Oct;18(7):879-85. doi: 10.1016/s0883-5403(03)00270-5.

DOI:10.1016/s0883-5403(03)00270-5
PMID:14566743
Abstract

Female patients under 45 years of age (average, 32.5; range, 14-44) at the time of primary bipolar or total hip arthroplasty (THA) were surveyed an average 10.5 years (range, 1.7 to 20.3 years) after the index procedure. Most patients were satisfied with the pain relief and functional abilities. Of the 109 respondents (137 hips), 37 (34%) had undergone 50 additional hip procedures. Thirteen women (12%) had 19 children at an average of 3 years after hip arthroplasty. Seven women had 1 child each; 6 had 2 children; and 1 had dizygotic twins. Eleven infants were delivered vaginally and 8 by cesarean section (5 planned, 3 unplanned). Two pregnancies were considered high risk unrelated to the hip arthroplasty. Pregnancy-related complications for these patients did not differ from those in the general population.

摘要

对初次进行双极或全髋关节置换术(THA)时年龄在45岁以下(平均32.5岁;范围14 - 44岁)的女性患者,在索引手术平均10.5年(范围1.7至20.3年)后进行了调查。大多数患者对疼痛缓解和功能能力感到满意。在109名受访者(137个髋关节)中,37名(34%)又接受了50次髋关节手术。13名女性(12%)在髋关节置换术后平均3年生育了19个孩子。7名女性各生育1个孩子;6名生育2个孩子;1名生育了异卵双胞胎。11名婴儿经阴道分娩,8名通过剖宫产分娩(5例为计划内,3例为计划外)。有2例妊娠被认为是与髋关节置换术无关的高危妊娠。这些患者的妊娠相关并发症与普通人群无异。

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Assessing the Effects and Challenges of Total Hip Arthroplasty before Pregnancy and Childbirth: A Systematic Review.评估妊娠和分娩前全髋关节置换术的效果及挑战:一项系统评价
J Funct Morphol Kinesiol. 2024 Apr 4;9(2):63. doi: 10.3390/jfmk9020063.
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No effect of delivery on total hip replacement survival: a nationwide register study in Finland.
分娩对全髋关节置换存活率无影响:芬兰全国注册研究。
Acta Orthop. 2019 Oct;90(5):433-438. doi: 10.1080/17453674.2019.1628561. Epub 2019 Jun 21.
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Lower birth rate in patients with total hip replacement.全髋关节置换患者的低出生率。
Acta Orthop. 2016 Oct;87(5):492-6. doi: 10.1080/17453674.2016.1193396. Epub 2016 Jun 1.
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Pregnancy Does Not Adversely Affect Postoperative Pain and Function in Women With Total Hip Arthroplasty.妊娠对接受全髋关节置换术的女性术后疼痛和功能无不利影响。
J Clin Rheumatol. 2015 Sep;21(6):323-5. doi: 10.1097/RHU.0000000000000286.
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