肝硬化患者行髋关节或膝关节置换术的疗效分析
Outcome analysis of hip or knee arthroplasty in patients with cirrhotic liver disease.
作者信息
Seol Young-Jun, Yoon Taek-Rim, Lee Dong-Hyun, Lee Sun-Ho, Park Kyung-Soon
机构信息
Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University, Hwasun Hospital, Jeonnam, South Korea.
出版信息
J Orthop. 2017 Jan 4;14(1):171-175. doi: 10.1016/j.jor.2016.12.011. eCollection 2017 Mar.
Abstract
OBJECTIVE
Present helpful measures to prevent expected complications that occur in patients with liver cirrhosis undergoing arthroplasty.
METHODS
218 patients who underwent hip or knee arthroplasty were included in this study. Prognoses of patients with underlying disease of liver cirrhosis and those without are compared with measures.
RESULTS
Patients with liver cirrhosis show an increase in amount of bleeding, hospital stay and infection rate compared to those who do not.
CONCLUSION
The risk of arthroplasty on patients with liver cirrhosis is higher than normal patients. Surgeons should carefully assess all cirrhotic patients pre- and postoperatively.
摘要
目的
提出有助于预防肝硬化患者行关节置换术时出现预期并发症的措施。
方法
本研究纳入218例行髋关节或膝关节置换术的患者。比较了患有肝硬化基础疾病的患者和未患肝硬化基础疾病的患者的预后情况及相关措施。
结果
与未患肝硬化的患者相比，肝硬化患者的出血量、住院时间和感染率均有所增加。
结论
肝硬化患者行关节置换术的风险高于正常患者。外科医生应在术前和术后仔细评估所有肝硬化患者。
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