中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
26期
50-52
,共3页
王喆%崔波%程景春%朱瑞武
王喆%崔波%程景春%硃瑞武
왕철%최파%정경춘%주서무
髋关节置换%翻修%手术入路
髖關節置換%翻脩%手術入路
관관절치환%번수%수술입로
Hip arthroplasty%Revision%Surgical approach
目的：探讨单切口双入路法与后外侧入路法在全髋关节置换翻修术中效果。方法将本院2011年3月~2013年10月收治的46例全髋关节翻修患者随机分为两组，分别采用单切口双入路全髋关节翻修手术及后外侧入路手术治疗，比较两组患者的手术时间、手术切口长度、手术出血量，并对患者术前、术后3个月、术后半年进行Harris髋关节评分和WOMAC评分评估髋关节功能。结果46例患者均成功完成手术，两组患者的手术切口长度、手术出血量、术前Harris髋关节评分、术前WOMAC评分差异无统计学意义；两组手术时间、术后3个月及术后半年Harris髋关节评分及WOMAC评分差异有统计学意义。结论在髋关节置换术后翻修的手术治疗中，单切口双入路手术技法术中视野显露更清楚，能有效清除髋关节周围的瘢痕挛缩组织，有利于术后髋关节生物力学平衡，对患者髋部功能的恢复有极大帮助。
目的：探討單切口雙入路法與後外側入路法在全髖關節置換翻脩術中效果。方法將本院2011年3月~2013年10月收治的46例全髖關節翻脩患者隨機分為兩組，分彆採用單切口雙入路全髖關節翻脩手術及後外側入路手術治療，比較兩組患者的手術時間、手術切口長度、手術齣血量，併對患者術前、術後3箇月、術後半年進行Harris髖關節評分和WOMAC評分評估髖關節功能。結果46例患者均成功完成手術，兩組患者的手術切口長度、手術齣血量、術前Harris髖關節評分、術前WOMAC評分差異無統計學意義；兩組手術時間、術後3箇月及術後半年Harris髖關節評分及WOMAC評分差異有統計學意義。結論在髖關節置換術後翻脩的手術治療中，單切口雙入路手術技法術中視野顯露更清楚，能有效清除髖關節週圍的瘢痕攣縮組織，有利于術後髖關節生物力學平衡，對患者髖部功能的恢複有極大幫助。
목적：탐토단절구쌍입로법여후외측입로법재전관관절치환번수술중효과。방법장본원2011년3월~2013년10월수치적46례전관관절번수환자수궤분위량조，분별채용단절구쌍입로전관관절번수수술급후외측입로수술치료，비교량조환자적수술시간、수술절구장도、수술출혈량，병대환자술전、술후3개월、술후반년진행Harris관관절평분화WOMAC평분평고관관절공능。결과46례환자균성공완성수술，량조환자적수술절구장도、수술출혈량、술전Harris관관절평분、술전WOMAC평분차이무통계학의의；량조수술시간、술후3개월급술후반년Harris관관절평분급WOMAC평분차이유통계학의의。결론재관관절치환술후번수적수술치료중，단절구쌍입로수술기법술중시야현로경청초，능유효청제관관절주위적반흔련축조직，유리우술후관관절생물역학평형，대환자관부공능적회복유겁대방조。
Objective To explore the effect of single-incision double-approach method and posterolateral approach method in revision surgery after total hip arthroplasty. Methods Forty-six patients who received total hip revision in our hospital from March 2011 to October 2013 were randomly divided into two groups and received single-incision double-approach total hip revision surgery and posterolateral approach surgery respectively.The surgical time,length of incision and surgical bleeding amount of the two groups were compared.The patients’ hip joint function was evaluated by the Harris hip score and WOMAC score before the surgery,3 months after the surgery and 6 months after the surgery. Results All the 46 patients completed the surgery successfully.The two groups did not have statistically signif-icant differences in the length of surgical incision, surgical bleeding amount,preoperative Harris hip score and preop-erative WOMAC score.The two groups had statistically significant differences in the surgical time,postoperative 3-month and postoperative 6-month Harris hip scores and WOMAC scores. Conclusion In the revision surgery after hip arthroplasty,the single-incision double-approach method has clearer intraoperative view,can effectively eliminate the scar contracture tissue around the hip joint,it is conducive to the postoperative hip biomechanical balance and is a great help for the recovery of hip function.
