摘要
目的探讨SuperPATH微创人工全髋关节置换术的早期疗效及临床应用价值。方法采集2016年5月至2017年6月间我院收治的60例(35例股骨头坏死,25例股骨颈骨折)需行人工全髋关节置换术患者相关资料,30例行SuperPATH经皮辅助入路纳入实验组,其中男20例,女10例,股骨头坏死16例,股骨颈骨折14例,平均年龄为(71.2±3.1)岁;30例行常规后外侧入路纳入对照组,其中男15例,女15例,股骨头坏死19例,股骨颈骨折11例,平均年龄为(71.2±3.2)岁。观察两组手术切口长度、手术时间、术中出血量、术后引流量、手术前后血红蛋白变化及术后1周、1个月、3个月、6个月疼痛视觉模拟评分(visual analogue scale,VAS)和Harris评分。结果实验组的手术切口长度、术中失血量、术后引流量、手术前后血红蛋白变化均较对照组少,差异具有统计学意义(P<0.05),实验组手术时间较对照组长,差异具有统计学意义(P<0.05);术后1周、1个月随访时两组VAS评分、Harris评分比较,差异具有统计学意义(P<0.05);术后3个月随访时两组VAS评分比较,差异无统计学意义(P>0.05),两组Harris评分比较,差异具有统计学意义(P<0.05);术后6个月随访时两组VAS评分、Harris评分比较,差异无统计学意义(P>0.05)。结论SuperPATH入路微创人工全髋关节置换术治疗股骨头坏死和股骨颈骨折较传统后外侧入路全髋关节置换术具有软组织损伤小、出血少,术后恢复快、近期疗效较好等优点,患者满意度高,可实现术后快速康复。
Objective To investigate the early effect and clinical application value of minimally invasive total hip arthroplasty by SuperPATH.Methods We collected information of 60 patients that underwent total hip arthroplasty from May 2016 to June 2017 in our department.There were 35 cases of femoral head necrosis and 25 cases of femoral neck fracture.30 cases of patients that accepted the surgery of minimally invasive total hip arthroplasty by SuperPATH were included in experimental group.20 cases of the patients were male,and 10 cases of patients were famale.16 cases of patients were diagonosed as femoral head necrosis,and 14 cases of patients were diagonosed as femoral neck fracture.The average ages were(71.2±3.1)years old.30 cases of patients that accepted the surgery of traditional total hip replacement were included in control group.Among them,15 cases of patients were male,15 cases of patients were famale,19 cases of patients were diagonosed as femoral head necrosis,and 11 cases of patients were diagonosed as femoral neck fracture,the average ages were(71.2±3.2)years old.We recoreded the length of incision,the operation time,operative bleeding,postoperative drainage,hemoglobin reduction,and the VAS grade and Harris grade at a week after operation,1 month,3 months and 6 months after operation.Results The length of incision,operative bleeding,postoperative drainage,hemoglobin reduction in experimental group were less than these of control group(P<0.05).The operation time in experimental group were longer than in control group,(P<0.05).There were significant differenced in VAS grade and Harris grade at a week after operation and a month after operation in experimental group and in control group(P<0.05).There were no significant differenced in VAS grade(P>0.05),but the Harris grade had a signifcant difference(P<0.05))at 3 months after operation.No significant difference was found in VAS grade and Harris grade at 6 months after operation(P>0.05).Conclusion Compared with the surgery of minimally invasive total hip arth
作者
吴克
李宝军
柴志勇
吴向阳
曹斌
邹明
莫顶峰
唐剑锋
Wu Ke;Li Baojun;Chai Zhiyong(Department of orthopedics,the Second People’s Hospital of Hunan Province,Changsha 410007,China)
出处
《实用骨科杂志》
2020年第2期108-112,147,共6页
Journal of Practical Orthopaedics
