摘要
目的探讨改良股四头肌保留(QYS)入路全膝关节置换术的临床疗效。方法采用随机对照原则,选取2015年6月—2016年2月在广州中医药大学第二附属医院(广东省中医院)骨关节科接受单侧初次TKA的患者60例,随机分为QS组(30例)、QYS组(30例),QS组采用股四头保留入路,QYS组采用改良股四头肌保留入路,比较两组患者手术时间、术中出血量、失血总量、术后膝关节活动度、肌力对比、术后KSS、VAS评分。结果 QYS组的手术时间较短、出血总量较少,术后关节活动度较大,术后VAS评分更低,KSS评分更高(均P<0.05)。结论QYS入路能减少全膝关节置换术的手术时间,降低围手术期的总出血量,减少手术造成的创伤,减轻术后疼痛,加快患者膝关节的恢复进程。
Objective The purpose of the study is to investigate the clinical effects of quadriceps beveling surgery approach（ QYS） in primary unilateral TKA. Methods Base on randomized controlled principle,60 selected patients who accepted primary unilateral TKA treatment in the Department of Joint Surgery,Second Affiliated Hospital,Guangzhou University of Chinese Medicine（ Guangdong Provincial Hospital of Chinese Medicine） from June 2015 to February 2016,were randomized into 2 groups,QS Group（ n = 30） and QYS Group（ n = 30）. The QS group used the quadriceps reserve surgery approach while the QYS group used the quadriceps beveling surgery approach. The operation time,operating hemorrhage,total hemorrhage,range of motion,muscle strength,KSS Rating after operation,VAS rating after operation were used for comparison in the study. Results The operation Time,total hemorrhage volume,KSS rating and VAS rating of QYS Group were better than the QS Group（ P 0. 05,respectively）. Conclusion The QYS surgery approach could save the operation time,reduce hemorrhage,alleviate postoperative pain,alleviate operative wound and promote patients＇ rehabilitation.
出处
《现代医院》
2017年第11期1657-1660,共4页
Modern Hospitals
基金
国家自然科学基金(编号:81473698
81273781)
教育部高等学校博士点科研基金(编号:20124425110004)
广东省科技计划项目(编号:2011B031700027)
广东省财政厅项目([2014]157号)
广东省中医药管理局项目(编号:20164020)
广东省中医院中医药科学技术研究专项(编号:YK2013B2N19
YN2015MS15)
