黄加裕;刘浪;蔡风;陈钦灿;夏驷捷;廖琦;

• 1:南昌大学第三附属医院骨科

摘要(Abstract)：

[目的]采用荟萃分析的方法,比较国人同期与分期双髋置换术的疗效。[方法]检索PubMed、Embase、Cochrane library、Web of science、中国知网、万方等数据库中关于双侧全髋置换同期与分期治疗的研究,检索年限为建库至2020年1月,依据纳入及排除标准筛选文献,提取数据,采用Review Manager 5.2软件分析。[结果]共纳入文献12篇,病例数共989例,其中同期组539例,分期组450例。荟萃分析显示,同期组在手术时间、住院时间、出血量、住院费用显著优于分期组(P<0.05),但同期组增加输血量(P<0.05)。两组在术后Harris评分、深静脉血栓、肺栓塞、术后感染率及术后神经系统症状发生率差异均无统计学意义(P>0.05)。[结论]同期双髋置换术较分期手术缩短手术时间和住院时间,降低出血量和住院费用,但增加输血量。

关键词(KeyWords)： 双侧髋关节置换;同期手术;分期手术;荟萃分析

Abstract:

Keywords:

基金项目(Foundation): 江西省卫生计生委科技计划项目（编号：20197007）

作者(Author): 黄加裕;刘浪;蔡风;陈钦灿;夏驷捷;廖琦;

Email:

DOI:

参考文献(References)：

• [1] Harris WH. The first 50 years of total hip arthroplasty:lessons learned[J]. Clin Orthop Relat Res, 2009, 467(1):28-31.
• [2] Jaffe WL, Charnley J. Bilateral charnley low-friction arthroplasty as a single operative procedure. A report of fifty cases[J]. Bull Hosp Joint Dis, 1971, 32(2):198-214.
• [3] Shao H, Chen CL, Maltenfort MG, et al. Bilateral total hip arthroplasty:1-stage or 2-stage? A meta-analysis[J]. J Arthrop, 2017,32(2):689-695.
• [4] Taheriazam A, Mohseni G, Esmailiejah AA, et al. Bilateral total hip arthroplasty:one-stage versus two-stage procedure[J]. Hip International, 2019, 29(2):141-146.
• [5] Glait SA, Khatib ON, Bansal A, et al. Comparing the incidence and clinical data for simultaneous bilateral versus unilateral total hip arthroplasty in new york state between 1990 and 2010[J]. J Arthrop, 2015, 30(11):1887-1891.
• [6] Bhan S, Pankaj A, Malhotra R. One-or two-stage bilateral total hip arthroplasty:a prospective, randomised, controlled study in an asian population[J]. J Bone Joint Surg Br, 2006, 99(3):298-303.
• [7] Huang L, Xu T, Li P, et al. Comparison of mortality and complications between bilateral simultaneous and staged total hip arthroplasty:a systematic review and meta-analysis[J]. Medicine(Baltimore), 2019, 98(39):e16774.
• [8]项鹏,余斌,熊军,等.双侧髋关节同期与分期置换临床疗效与安全性的荟萃分析[J].中国矫形外科杂志, 2012, 20(4):289-294.
• [9]乔高山,朱乐银,朱成栋,等.同期与分期行双侧全髋关节置换术的安全性及短期临床疗效比较[J].骨科, 2016, 7(3):185-189.
• [10]周勇刚,王岩,王继芳,等.同期双侧全髋置换术的临床报告[J].解放军医学杂志, 2004, 29(12):1084-1085.
• [11]张伟,梁庆威,董理,等.双侧髋关节同期置换与分期置换的临床疗效对比分析[J].中国全科医学, 2009, 12(23):2155-2157.
• [12]戴传强,肖尧,李跃辉,等.同期和分期手术在全髋关节置换术中的治疗效果比较[J].骨科, 2017, 8(2):117-120.
• [13]曹乐,张先龙,邹国友,等.同期与分期双侧全髋置换术临床比较分析[J].临床骨科杂志, 2008, 11(6):502-505.
• [14]朱成栋,乔高山,朱乐银,等.双侧全髋关节同期与分期置换近期临床疗效分析及安全性比较[J].中国骨与关节损伤杂志,2016, 31(6):574-576.
• [15]朱武,林昕,张克云,等.双髋关节同期置换与分期置换的临床疗效对比[J].现代诊断与治疗, 2017, 28(3):416-417.
• [16]李毓灵,傅峥,张健.同期与分期行双侧全髋关节置换术的短期临床结果比较[J].中华创伤杂志, 2013, 29(7):637-640.
• [17]杨立宇,杨礼庆,付勤.双侧同期与分期非骨水泥型人工全髋关节置换术的安全性对比与分析[J].东南大学学报(医学版),2017, 36(4):518-523.
• [18]田祖斌.双侧人工全髋关节同期置换术与分期置换术的安全性比较[J].中国医疗前沿, 2013, 8(7):36-61.
• [19]赵德伟,赵杰,郭林,等.同期与分期小切口双侧全髋关节置换临床比较分析[J].中国骨与关节损伤杂志, 2010, 25(8):682-685.
• [20]闫金峰,张香兰,张培旭,等.同期与分期双侧全髋关节置换术短期临床疗效的比较[J].医学综述, 2015, 21(15):2877-2878,2881.
• [21] Tan Z, Cao G, Wang G, et al. Total hospital cost, length of stay,and complications between simultaneous and staged bilateral total hip arthroplasty:a nationwide retrospective cohort study in China[J]. Medicine(Baltimore), 2019, 98(11):e14687.
• [22] Wu YG, Zeng Y, Shen B, et al. Combination of erythropoietin and tranexamic acid in bilateral simultaneous total hip arthroplasty:a randomised, controlled trial[J]. Hip International, 2016, 26(4):331-337.
• [23] Seol JH, Park KS, Yoon TR. Postoperative complications and costeffectiveness of simultaneous and staged bilateral total hip arthroplasty using a modified minimally invasive two-incision technique[J]. Hip Pelvis, 2015, 27(2):77-82.
• [24] Tsiridis E, Pavlou G, Charity J, et al. The safety and efficacy of bilateral simultaneous total hip replacement:an analysis of 2063 cases[J]. J Bone Joint Surg Br, 2008, 90(8):1005-1012.
• [25] Pulido L, Ghanem E, Joshi A, et al. Periprosthetic joint infection:the incidence, timing, and predisposing factors[J]. Clin Orthop Relat Res, 2008, 466(7):1710-1715.