摘要
目的对比直接前入路与传统的后外侧入路的全髋关节置换术的短期临床治疗效果。方法选取从2014年4月至2015年6月在该院接受首次全髋关节置换术(THA)的患者47例,根据手术入路方式分为两组:一组为直接前入路(DAA)组,另一组为后外侧入路(PLA)组。DAA组为21例22髋,PLA组26例27髋。比较两组患者的手术切口长度、术中失血量、手术时间、术后并发症发生率、住院时间及术后Harris评分。结果 DAA组患者的平均手术切口长度小于PLA组(P<0.05);DAA组患者的平均手术时间长于PLA组(P<0.05);DAA组患者的平均术中出血量少于PLA组(P<0.05);DAA组患者的平均住院时间短于PLA组(P<0.05);DAA组患者术后6周和3个月的Harris评分平均值高于PLA组(P<0.05);术后6个月复查,所有患者的手术切口均一期愈合,未发生关节脱位及关节感染。结论 DAA和PLA均为THA的良好手术入路,但与PLA相比,DAA患者的住院时间更短,且患者的术后早期(3个月内)功能恢复更快。
Objective To compare the short-term clinical effects of direct anterior approach and traditional posterolateral approach in total hip arthroplasty(THA).Methods Forty-seven patients who received THA from April 2014 to June 2015 were divided into two groups according to the surgical approach:the one was direct anterior approach(DAA)and the other group was posterolateral approach(PLA).In the DAA group,there were 21 cases with 22 hips,and 26 cases with 27 hips in PLA group,DAA group consisted of 5 males with 5 hips,16 female with 17 hips,PLA group consisted of 7 males with 7 hips,19 female with 20 hips.The length of incision,intraoperative blood loss,operative time,postoperative complication rate,hospital stay and postoperative Harris score were compared between the two groups.Results The average operative incision length in the DAA group was less than that of PLA group(P<0.05),and the average operation time in the DAA group was longer than that of group PLA(P<0.05);the average intraoperative blood loss in group DAA was less than that of group PLA(P<0.05);the average length of hospitalization in the DAA group was shorter than that in PLA group(P<0.05),After 6 weeks and 3 months of operation,the average value of Harris score in the DAA group was higher than that of PLA group(P<0.05).After 6 months of operation,all the patients′surgical incisions healed in one stage,there were no joint dislocation and joint infection.Conclusion Both DAA and PLA are good surgical approaches for THA,but compared with PLA,the hospitalization time of DAA is shorter,and the function of patients with early postoperative(three months)recovery is faster.
作者
王凡
王振强
张玉兴
莫安华
吴厚林
宗华
WANG Fan;WANG Zhenqiang;ZHANG Yuxing;MO Anhua;WU Houlin;ZONG Hua(Department of Bone,People′s Hospital of Southeast of Guizhou Province, Southeast of Guizhou Province,Guizhou 556099,China)
出处
《重庆医学》
CAS
2018年第28期3668-3670,共3页
Chongqing medicine
关键词
后外侧入路
直接前路
关节成形术
置换
髋
posterolateral approach
direct anterior
arthroplasty,replacement,hip
