下肢动脉粥样硬化对全膝关节置换术早期结果的影响Effect of lower extremity atherosclerosis on early outcomes of total knee arthroplasty
杨波;王腾云;吴长坤;缪伟;姜鑫;
摘要(Abstract):
[目的]评价经彩超诊断的下肢动脉粥样硬化对全膝关节置换术(TKA)早期结果的影响。[方法]回顾分析2017年1月-10月收治并符合纳入标准的353例(387膝) TKA患者,按照术前下肢动脉彩超诊断结果分为正常组151膝和病变组236膝,病变组下肢动脉彩超诊断动脉粥样硬化。所有病例在半程止血带下行TKA。术后比较两组切口并发症、VTE发病率。[结果]病变组的年龄显著高于正常组,两组比较差异有统计学意义(P<0.05),提示年龄增加血管病变的发生也增加。两组中性别构成差异有统计学意义(P<0.05),提示男性患者下肢动脉粥样硬化发病率较女性高。两组间并存高血压病、高脂血症、糖尿病和冠状动脉粥样硬化性心脏病的差异无统计学意义(P>0.05)。术后早期两组切口并发症、VTE发病率差异均无统计学意义(P>0.05)。但合并糖尿病患者术后切口并发症发病率更高(P<0.05)。[结论]经彩超诊断的下肢动脉粥样硬化患者行TKA术是安全的,未增加术后切口并发症、VTE风险。糖尿病是术后切口并发症的独立风险因素。
关键词(KeyWords): 下肢动脉粥样硬化;全膝关节置换术;切口并发症;静脉血栓栓塞
基金项目(Foundation):
作者(Author): 杨波;王腾云;吴长坤;缪伟;姜鑫;
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参考文献(References):
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