摘要
目的分析经皮穿刺辅助保留关节囊(Super PATH)全髋入路在全髋关节置换术的疗效和问题。方法对连续213例(256侧)患者进行对比研究,分为后外侧入路组和Super PATH入路组(西安交通大学第二附属医院从开始该术式至研究结束的连续病例),记录手术时间,出血量,术中并发症,术后疼痛评分,独立行走时间,术后Harris评分等,所记录的资料结果应用SPSS 13.0进行统计分析,两组间年龄、出血量、手术时间、疼痛评分、独立行走时间、术后功能评分等计量资料行t检验,性别、脱位、骨折、感染、松动等计数资料行2检验。结果后外侧入路组178例,Super PATH入路组78例,两组间年龄性别无差异,Super PATH入路组在出血量(t=2.27)、术后引流量(t=5.68)、术后疼痛评分(t=12.35)和独立行走时间(t=13.64)方面优于后外侧入路组(P<0.05),在手术时间(t=19.22)和术中并发症(2=6.927)方面较后外侧入路组差(P<0.05),术后Harris评分两组无差异(3月时t=0.93,1年时t=0.90,P>0.05)。结论 Super PATH入路是一个可以达到快速康复目的的全髋关节置换入路,但存在较高手术难度和一定的学习代价。
Objective To discuss the treatment effects and problems of total hip arthroplasty （ THA ） with supercapsular percutaneously-assisted total hip （ SuperPATH ） approach . Methods Consecutive THA cases in the Second Affiliated Hospital of Xi ＇ an Jiaotong University were comparatively evaluated ,which were divided to two cohorts .The cases of one cohort were performed with posterior-lateral approach and the cases of the other cohort were performed with SuperPATH approach .The data of intra-operative blood loss ,drainage volume ,operation time ,post operation pain score ,independent walking time and postoperation Harris score were recorded .The measursement data were analyzed by t test,the enumeration data were analyses by χ2 test;all the statistical analysis used SPSS .Results There were 178 cases in the cohort of posterior-lateral approach and 78 cases in the cohort of SuperPATH approach .No obviously difference was found between the two cohorts in gender and ages .SuperPATH approach cohort were better than posterior-lateral approach cohort （ P〈0.05 ） in blood loss （ t=2.27 ） ,drainage volume （t=5.68）,postoperation pain score （ t =12.35） and independent walking time （ t =13.64）;while the operation time of the SuperPATH approach cohort was longer than the posterior-lateral approach cohort （ t=19.22,P〈0.05）,and the intra-operation complications occurred more in the SuperPATH approach cohort （χ2 =6.927,P 〈0.05）.No significant difference was found between the two groups in postoperative Harris scores （ three months postoperation t =0.93,one year postoperation t =0.90,P 〉0.05 ）. Conclusion The SuperPATH approach may be an adoptable THA approach for quick recovery ,but it is difficult and should be paid some price in learning .
出处
《中华关节外科杂志（电子版）》
CAS
2017年第6期565-568,共4页
Chinese Journal of Joint Surgery(Electronic Edition)
基金
国家自然科学基金(81472067)
关键词
髋关节
关节成形术
外科手术
微创性
治疗效果
Hip joint
Arthroplasty
Minimally invasive surgical procedures
Treatment outcome
