摘要
目的:浅谈前外侧入路行人工髋关节置换术的临床应用。方法:将40例行人工髋关节置换术患者随机分为对照组和试验组各20例,对照组采用传统入路行人工髋关节置换术,试验组则采用前外侧入路行人工髋关节置换术,比较两组患者术中及术后情况。结果:试验组术中输血量、切口长度、手术时间均明显优于对照组,差异均有统计学意义(P<0.05);试验组术后无并发症发生明显少于对照组并发症发生率25.0%,差异有统计学意义(P<0.05);试验组患者术后1年髋关节功能优良率85.0%明显高于对照组的55.0%,差异有统计学意义(P<0.05)。结论:前外侧入路行人工髋关节置换术具有创伤小、恢复快、术中出血量少、手术时间短、术后并发症发生率低等优点,值得予以临床推广应用。
Objective：To evaluate clinical experience with anterolateral approach in total hip arthroplasty.Method：Forty patients with total hip arthroplasty were randomly divided into the control group and the treatment group,20 cases in each group.The control group was treated with usual approach in total hip arthroplasty,the treatment group was treated with anterolateral approach in total hip arthroplasty.And the situation in operation and after operation were compared between two groups.Result：The infusion amount during the operation,the operative incision lengths and the time of operation of the treatment group were better than the control group,the differences were statistically significant（P〈0.05）.The incidence of postoperative complications of the treatment group was 0,it was less than control group（25.0%）,the difference was statistically significant（P〈0.05）.The excellent rate of hip joint function of the treatment group after one year was 85.0%,it was significantly higher than that of 55%in the control group,the difference was statistically significant（P〈0.05）.Conclusion：Anterolateral approach in total hip arthroplasty has the merits of small wound,less blood loss, surgery a short time,low complication rate and early recovery,which is worth for reference use in clinical.
出处
《中国医学创新》
CAS
2013年第32期116-118,共3页
Medical Innovation of China
关键词
人工髋关节置换术
前外侧入路
后外侧入路
Total hip arthrbplasty
Anterolateral approach
Posterolateral approach
