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骨盆内骨水泥型全髋关节置换术的晚期并发症。文献综述及一例性交困难病例报告

Late complications of total hip replacement from bone cement within the pelvis. A review of the literature and a case report involving dyspareunia.

作者信息

Awbrey B J, Wright P H, Ekbladh L E, Doering M C

出版信息

J Bone Joint Surg Br. 1984 Jan;66(1):41-4. doi: 10.1302/0301-620X.66B1.6693475.

DOI:10.1302/0301-620X.66B1.6693475
PMID:6693475
Abstract

It is not uncommon to observe bone cement in the pelvis on radiographs after total hip replacement, a finding which is generally considered to be benign. This paper reviews some catastrophic late complications from intrapelvic methylmethacrylate. We also describe a case of progressive, unbearable dyspareunia beginning three years after total hip replacement. A possible explanation of the pathophysiology is suggested. Recommendations for prevention, diagnosis, and treatment of these late complications are offered.

摘要

全髋关节置换术后在X线片上观察到骨盆内有骨水泥并不罕见,这一发现通常被认为是良性的。本文回顾了骨盆内甲基丙烯酸甲酯引发的一些灾难性晚期并发症。我们还描述了一例全髋关节置换术后三年开始出现的进行性、难以忍受的性交困难病例。文中提出了一种可能的病理生理机制解释。并针对这些晚期并发症的预防、诊断和治疗给出了建议。

相似文献

1
Late complications of total hip replacement from bone cement within the pelvis. A review of the literature and a case report involving dyspareunia.骨盆内骨水泥型全髋关节置换术的晚期并发症。文献综述及一例性交困难病例报告
J Bone Joint Surg Br. 1984 Jan;66(1):41-4. doi: 10.1302/0301-620X.66B1.6693475.
2
Compression of the sciatic nerve by methylmethacrylate cement after total hip replacement.
J Bone Joint Surg Br. 1992 Sep;74(5):729-30. doi: 10.1302/0301-620X.74B5.1527123.
3
[Ureteral obstruction secondary to intrapelvic migration of methyl methacrylate following total hip replacement].[全髋关节置换术后甲基丙烯酸甲酯盆腔内移位继发输尿管梗阻]
Arch Esp Urol. 1993 Apr;46(3):229-31.
4
Gross hematuria: a complication of intrapelvic cement intrusion in total hip replacement.肉眼血尿:全髋关节置换术中盆腔内骨水泥渗漏的一种并发症。
AJR Am J Roentgenol. 1978 Feb;130(2):327-9. doi: 10.2214/ajr.130.2.327.
5
[Trans-trochanteric vesico-cutaneous fistula after total hip replacement].
Ann Urol (Paris). 1989;23(2):123-5.
6
[Arterial injury caused by so-called bone cement].[所谓骨水泥引起的动脉损伤]
Zentralbl Chir. 1985;110(19):1199-201.
7
[Protrusion of palacos from the vascular canals of the femur].[骨水泥从股骨血管通道中突出]
Unfallheilkunde. 1983 Jul;86(7):325-6.
8
Bone cement.骨水泥
Anaesthesia. 1989 Feb;44(2):180. doi: 10.1111/j.1365-2044.1989.tb11215.x.
9
[Prosthetic cement: a vital risk?].[人工关节骨水泥:一项重大风险?]
Helv Chir Acta. 1992 Mar;58(5):711-5.
10
[Heat of polymerization of bone cement can induce cardiac arrest].骨水泥聚合热可诱发心脏骤停。
Ugeskr Laeger. 1998 Aug 17;160(34):4905-6.

引用本文的文献

1
Acetabular Bone Cement Extension Leading to Bladder Obstruction: An Orthopedic Surgical Complication.髋臼骨水泥延伸导致膀胱梗阻:一种骨科手术并发症。
Cureus. 2024 Sep 5;16(9):e68694. doi: 10.7759/cureus.68694. eCollection 2024 Sep.
2
Intraoperative bladder perforation during primary total hip arthroplasty.初次全髋关节置换术中膀胱穿孔
Arthroplast Today. 2017 May 16;4(1):40-43. doi: 10.1016/j.artd.2017.03.008. eCollection 2018 Mar.
3
Intra-abdominal and intra-pelvic complications following operations around the hip: causes and management-a review of the literature.
髋关节周围手术后的腹腔内和盆腔内并发症:病因与处理——文献综述
Eur J Orthop Surg Traumatol. 2018 Aug;28(6):1017-1027. doi: 10.1007/s00590-018-2154-6. Epub 2018 Feb 12.
4
Primary ileus after total hip arthroplasty: rare complication or sentinel event?全髋关节置换术后原发性肠梗阻:罕见并发症还是先兆事件?
Updates Surg. 2011 Sep;63(3):179-84. doi: 10.1007/s13304-011-0084-5. Epub 2011 Jun 18.
5
Dyspareunia.性交困难
Can Fam Physician. 1985 Apr;31:829-31.
6
Cellular proliferation and cytokine responses to polymethylmethacrylate particles in patients with a cemented total joint arthroplasty.骨水泥型全关节置换术患者中细胞对聚甲基丙烯酸甲酯颗粒的增殖及细胞因子反应。
Inflamm Res. 1995 Apr;44(4):145-51. doi: 10.1007/BF01782811.
7
Colocutaneous fistula as late complication of total hip replacement in rheumatoid arthritis.结肠皮肤瘘作为类风湿性关节炎全髋关节置换术后的晚期并发症。
J R Soc Med. 1985 Nov;78(11):951-2. doi: 10.1177/014107688507801117.