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后外侧入路小切口全髋关节置换术治疗股骨头坏死 被引量:16

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摘要 目的探讨后外侧入路小切口全髋关节置换术治疗股骨头坏死的优越性。方法 2007年5月至2012年5月我院收治的股骨头坏死并行全髋关节置换术患者52例(68髋),分为试验组和对照组,试验组27例(37髋)采用改良后外侧入路小切口人工全髋置换术,对照组25例(31髋)行常规后外侧入路。比较两组一般资料、切口长度、失血量、手术时间、术中骨折率、术后假体脱出、深静脉血栓、术后开始功能锻炼时间、术后Harris评分(平均)。结果试验组病例切口长度、失血量(术中、术后)、术后假体脱出、术后开始功能锻炼时间均低于对照组,两者比较差异有统计学意义(P<0.05)。两组病例在一般资料、手术时间、术中骨折、深静脉血栓、术后平均Harris评分及假体位置方面比较,差异无统计学意义(P>0.05)。结论后外侧入路小切口全髋关节置换术治疗股骨头坏死具有切口小,失血量少,术后早期功能恢复快,相关并发症发生率低,优良率满意等优点。
出处 《中华临床医师杂志(电子版)》 CAS 2013年第9期186-187,共2页 Chinese Journal of Clinicians(Electronic Edition)
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