中国医药
中國醫藥
중국의약
CHINA MEDICINE
2012年
3期
342-343
,共2页
股骨颈骨折%全髋关节置换术%微创小切口
股骨頸骨摺%全髖關節置換術%微創小切口
고골경골절%전관관절치환술%미창소절구
Fractured neck of femur%Total hip arthroplasty%Mini-invasive incision
目的 探讨采用后路小切口人工全髋关节微创置换治疗老年股骨颈囊内骨折的可行性和治疗效果.方法 采用后路小切口对23例股骨颈骨折的老年患者行髋关节置换术,总结微创小切口人工全髋关节置换术在切口长度、失血量、术后康复、假体位置、Harris评分方面的手术经验.结果 手术切口平均(8.6±1.1)cm；术中出血量平均(200±30)ml；手术时间平均(90±10)min；术后引流量平均(180±35)ml,平均输血400ml.Harris评分术后6个月平均(81±3)分.结论 微创小切口全髋关节置换术是可行的,尤其适合老年股骨颈骨折患者,但技术条件要求较高.
目的 探討採用後路小切口人工全髖關節微創置換治療老年股骨頸囊內骨摺的可行性和治療效果.方法 採用後路小切口對23例股骨頸骨摺的老年患者行髖關節置換術,總結微創小切口人工全髖關節置換術在切口長度、失血量、術後康複、假體位置、Harris評分方麵的手術經驗.結果 手術切口平均(8.6±1.1)cm；術中齣血量平均(200±30)ml；手術時間平均(90±10)min；術後引流量平均(180±35)ml,平均輸血400ml.Harris評分術後6箇月平均(81±3)分.結論 微創小切口全髖關節置換術是可行的,尤其適閤老年股骨頸骨摺患者,但技術條件要求較高.
목적 탐토채용후로소절구인공전관관절미창치환치료노년고골경낭내골절적가행성화치료효과.방법 채용후로소절구대23례고골경골절적노년환자행관관절치환술,총결미창소절구인공전관관절치환술재절구장도、실혈량、술후강복、가체위치、Harris평분방면적수술경험.결과 수술절구평균(8.6±1.1)cm；술중출혈량평균(200±30)ml；수술시간평균(90±10)min；술후인류량평균(180±35)ml,평균수혈400ml.Harris평분술후6개월평균(81±3)분.결론 미창소절구전관관절치환술시가행적,우기괄합노년고골경골절환자,단기술조건요구교고.
Objective To study the feasibility and therapeutic results of total hip arthroplasty (THA) with minimally invasive incision through posterolateral approach for elderly patients with displaced femoral neck fractures.Methods By manipulating the mini-invasive incision,it used total hip arthroplasty to treat twenty-three patients who fractured neck of femur.I concluded the operation expriences of the mini-invasive incision THA,which included incision lenth,blood lose in operation,posterative recovery and Harris score.Results The lengh of incision was ( 8.6 ± 1.1 ) cm.The blood loss was ( 200 ± 30 ) ml.The operation time was ( 90 ± 10 ) min.Postoperative drainage ( 180 ± 35) ml.Blood transfusion 400ml.Conclusion It is feasible for THA with mini-invasive incision,can be performed for elderly patients with displaced femoral neck fractures.
