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髋关节组 | 東京医科歯科大学 整形外科
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東京医科歯科大学 整形外科

東京医科歯科大学整形外科7

髋关节组

DSC02042
从髋关节炎和髋臼发育不良、股骨头坏死等成人疾患到发育性髋关节发育不全,派尔特斯病,股骨骺滑脱等小儿疾患,我们科室对应所有年龄段的髋关节疾患。特别是各种骨切除术和人工髋关节置换术施行例很多,以低侵袭性术式为原则,对两侧均适宜做手术的患者可以两侧同时行置换术,为患者早期回归社会赢取了时间。
对伴有高度骨缺损的人工髋关节松弛患者,我们使用了院内骨银行行再置换术,高度腿延长常伴有的脱臼性髋关节症等 疾病,在术中神经电位测定下行人工髋关节全置换术。对高度变形的病例,运用实物大脏器立体骨模型手术支援系统(属于一部分先进医疗)行髋关节手术和运用导航系统行人工髋关节全置换术等高难度的手术,重视正确性和安全性。除此之外,运用分子生物学和药理学,生体力学等学科的最先进的知识来施行保守疗法而尽量避免手术,同时也在积极进行能使手术疗法进步的基础研究和临床研究。

手术实际成绩

  2015年 2016年 2017年
单侧人工髋关节全置换术 134関節 139関節 140関節
双側一期人工髋关节全置换术 22例 44关节 28例 56关节 25例 50关节
人工髋关节再置换术 6関節 6関節 6関節
骨切除术 13関節 12関節 7関節
其他 20例 18例 8例

施行两侧一期人工髋关节全置换术

在髋关节炎患者中,两侧同时患病者并不少见。这种双侧患病的患者做完单侧人工髋关节置换术之后再择期做另外一侧的髋关节置换术的情况下,尽管单侧的手术完成之后减少了患者的痛苦,但因为还在承受另外一侧造成的疼痛,所以术后满意度不会太高。而且在这种情况下,住院时间也会是单侧手术的两倍时间。因为这些原因,我们科室从2001年开始实行做两侧一期人工髋关节全置换手术,住院和康复训练的时间都有缩短,获得了良好的成果。多数患者跟只做单侧人工髋关节全置换术的患者一样术后两周就能行走出院。

 2018年12月10日 星期一
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