摘要
目的比较微创后外侧小切口全髋置换术和传统的常规全髋置换术的疗效,并研究微创后外侧小切口全髋置换术在临床应用上的优缺点。方法 72例全髋关节置换患者随机分入两组,观察组36例采用微创后外侧小切口全髋置换术,对照组36例采用常规全髋置换术。记录患者的性别、年龄、体重、手术时间、术中失血量及术后引流量、切口长度、术中术后骨折、术后开始功能锻炼时间、术后Harris评分、并发症等,随访时间为3～18个月,平均12个月。结果观察组在术中术后失血量、手术切口长度、术后开始功能锻炼时间显著低于对照组,在术后Harris评分、术后并发症等无显著性差异。结论采用微创后外侧小切口全髋置换术进行人工全髋置换术明显缩短手术时间和降低术后并发症及假体位置不当的风险,具有手术创伤小、失血量少、可以早期进行关节功能锻炼等优点。
Objective To compare the clinical effect of posterolateral mini-incision total hip replacement arthroplasty（THRA） with conventional THRA,and investigate the advantages and disadvantages of posterolateral mini-incision THRA in clinical application.Methods Seventy-two cases of THRA were randomly divided into experimental group received posteriorlateral mini-incision THRA（n=36）,and control group received conventional THRA.The patients were followed-up for 3 to 18 months（mean 12 months） after surgery.Operation time,intraoperative blood loss and postoperative drainage volume,length of the incisions,intraoperative and postoperative fractures,time for postoperative functional exercise,postoperative Harris score,and complications were compared between two groups.Results The intraoperative and postoperative blood loss,length of operation incision,and time for postoperative functional exercise were significantly decreased in experimental group than control group（P0.05）;however,there were no significant differences in Harris score,and postoperative complications between the two groups（P0.05）.Conclusion THRA with posterolateral mini-incision offers advantages of shorter operation time,shorter time for postoperative functional exercise,less trauma and blood loss.
出处
《临床和实验医学杂志》
2013年第3期199-200,203,共3页
Journal of Clinical and Experimental Medicine
关键词
全髋置换术
后外侧入路
微创小切口
Total hip replacement arthroplasty
Posterolateral approach
Mini-incision
