摘要
目的比较前外侧与后外侧入路在人工全髋关节置换术（total hip arthroplasty，THA）中的临床效果。方法2010年1月～2012年12月在我院行THA患者50例共57髋，随机分为两组，其中前外侧组25例（28髋）采用前外侧入路，后外侧组25例（29髋）采用后外侧入路，比较两组切口长度、手术时间、术中出血量、输血量、术后并发症及髋关节Harris评分。结果前外侧组和后外侧组切口长度、手术时间、术中出血量和输血量比较均无统计学差异（P〉0．05）。组内比较，两组术后3月、6月Harris评分均较术前改善显著，差异具有统计学意义（P〈0．05）；组间比较，两组均无统计学差异（P〉0．05）。前外侧组术后3周出现髋关节后脱位1例，予复位后恢复正常。后外侧组均未出现术后并发症。结论前外侧与后外侧入路在THA术中不影响疗效，选择何种方式入路应根据患者的个体情况而定。
Objective To compare the clinical effect of anterolateral and posterolateral approach in arti- ficial total hip arthroplasty （THA）. Methods A total of 50 patients （with 57 hips enrolled） admitted from January 2010 to December 2012 performed THA were divided randomly into two groups： The anterolateral group included 25 cases （28 hips） with anterolateral approach, and posterolateral group included 25 cases （29 hips） with posterolateral approach. The incision length, operative time, intra-operative blood loss, amount of blood transfusion, postoperative complications and Harris hip score were compared between two groups. Results There was no statistic difference in incision length, operative time, intra-operative blood loss and transfusion volume between antero- and posterolateral groups （ P 〉 0.05 ）. The Harris hip score 3- and 6 months after the operation was improved remarkable than that before operation in both two groups （ P 〈 0.05 ） , but no statistic difference between two groups （ P 〉 0.05 ）. Posterior dislocation of hip joint was found and restored after reduc- tion in anterolateral group. No postoperative complications occurred in posterolateral group. Conclusion Both antero- and posterolateral approach can achieve reliable effect in THA surgery, and the selection of suit- able approach should be based on the patient＇s individual circumstances.
出处
《中国现代手术学杂志》
2013年第4期293-295,共3页
Chinese Journal of Modern Operative Surgery
关键词
关节成形术
置换
髋
切口
前外侧入路
后外侧入路
arthroplasty, replacement, hip
incision
anterolateral approach
posterolateral approach
