中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
14期
417-418
,共2页
髋关节置换术%外侧入路%后侧入路%对比分析
髖關節置換術%外側入路%後側入路%對比分析
관관절치환술%외측입로%후측입로%대비분석
Hip arthroplasty%Anterolateral,posterolateral%Comparative analysis
目的比较经外侧、后侧两种不同手术入路行全髋关节置换术的优缺点。方法回顾性分析行髋关节置换术的112例患者（全部为单髋关节）的临床资料，比较两组患者手术时间、出血量、手术切口长度、术后引流量、患者疼痛程度、术后住院天数、患者满意度、髋臼假体前倾角、术前术后 Harris 评分等。结果两组患者术后住院天数（t=1.8511，P=0.0668）、髋臼假体前倾角（t=1.2190，P=0.2554）无明显差异（P ＞0.05）。两组手术时间（t=3.7184，P=0.0003）、手术出血量（t=4.5039，P=0.0001）、手术切口长度（t=37.7078，P=0.0001）及术后引流量（t=5.7998，P=0.0001）、术后3d VAS 评分（t=7.0542，P=0.0001）、Hrris 评分（t=6.6358，P=0.0001），外侧入路组均明显优于后侧入路组（均 P ＜0.05）。结论外侧手术入路髋关节置换手术是一种安全可靠有效地手术入路，手术效果明显优于后外侧入路手术。
目的比較經外側、後側兩種不同手術入路行全髖關節置換術的優缺點。方法迴顧性分析行髖關節置換術的112例患者（全部為單髖關節）的臨床資料，比較兩組患者手術時間、齣血量、手術切口長度、術後引流量、患者疼痛程度、術後住院天數、患者滿意度、髖臼假體前傾角、術前術後 Harris 評分等。結果兩組患者術後住院天數（t=1.8511，P=0.0668）、髖臼假體前傾角（t=1.2190，P=0.2554）無明顯差異（P ＞0.05）。兩組手術時間（t=3.7184，P=0.0003）、手術齣血量（t=4.5039，P=0.0001）、手術切口長度（t=37.7078，P=0.0001）及術後引流量（t=5.7998，P=0.0001）、術後3d VAS 評分（t=7.0542，P=0.0001）、Hrris 評分（t=6.6358，P=0.0001），外側入路組均明顯優于後側入路組（均 P ＜0.05）。結論外側手術入路髖關節置換手術是一種安全可靠有效地手術入路，手術效果明顯優于後外側入路手術。
목적비교경외측、후측량충불동수술입로행전관관절치환술적우결점。방법회고성분석행관관절치환술적112례환자（전부위단관관절）적림상자료，비교량조환자수술시간、출혈량、수술절구장도、술후인류량、환자동통정도、술후주원천수、환자만의도、관구가체전경각、술전술후 Harris 평분등。결과량조환자술후주원천수（t=1.8511，P=0.0668）、관구가체전경각（t=1.2190，P=0.2554）무명현차이（P ＞0.05）。량조수술시간（t=3.7184，P=0.0003）、수술출혈량（t=4.5039，P=0.0001）、수술절구장도（t=37.7078，P=0.0001）급술후인류량（t=5.7998，P=0.0001）、술후3d VAS 평분（t=7.0542，P=0.0001）、Hrris 평분（t=6.6358，P=0.0001），외측입로조균명현우우후측입로조（균 P ＜0.05）。결론외측수술입로관관절치환수술시일충안전가고유효지수술입로，수술효과명현우우후외측입로수술。
Objective Comparison of the anterolateral approache and the posterolateral approache which are two different surgical approaches for total hip arhroplasty in order to explore the best approach for hip arthroplasty. Methods Retrospective analysis of the clinical data of 112 patients which received hip arthroplasty (All are unilateral), then compared the operating time, blood loss, incision length, postoperative drainage, the patient level of pain, postoperative hospital stay, patient satisfaction, the acetabular component, anteversion postoperative Harris score, etc of patients of the two groups. Results The postoperative hospitalization-time (t=1.8511, P=0.0668), the acetabular component anteversion (t=1.2190, P=0.2554) are no significant difference between the two groups(P>0.05); operation time (t=3.7184, P=0.0003), operative blood loss (t=4.5039, P=0.0001), the length of the incision (t=37.7078, P=0.0001) and postoperative drainage (t=5.7998, P=0.0001), three days after VAS score (t=7.0542, P=0.0001), Hrris score (t=6.6358, P=0.0001), hip function excellent rate (χ2=6.6184, P=0.0198), and the anterolateral approach group were significantly better than the posterolateral approach group(P<0.05). Conclusion Anterolateral approach road is a safely for hip arthroplasty is superior to posterolateral approach.
