中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
22期
7-9
,共3页
全髋关节置换术%小切口%传统切口%对照研究
全髖關節置換術%小切口%傳統切口%對照研究
전관관절치환술%소절구%전통절구%대조연구
Total hip arthroplasty%Mini-incision%Conventional incision%Comparative study
目的 比较后外侧小切口全髋关节置换术(THA)与传统THA的临床疗效及并发症.方法 2009年6月至2011年6月,连续无选择病例采用小切口THA 40例(小切口组),同期采用传统全髋关节置(THA)40例(传统组),所有患者均由同一位主刀医生完成手术.对两组患者在切口长度、手术时间、术中出血量、术后引流量、术后疼痛直观模拟量表(VAS)、下地负重时间、住院天数、全髋关节置换术Harris评分等方面进行比较.结果 两组在切口长度、术后疼痛评分(VAS)、下地负重时间、住院天数及术后1个月Harris评分比较,差异有统计学意义(P＜0.05),小切口组优于常规组;而两组患者的年龄、体质量指数(BMI)、术前Hams评分、手术时间、术中出血量、术后引流量及术后3、6、12个月Harris评分比较,差异无统计学意义(P＞0.05).结论 后外侧小切口THA在适宜手术适应证前提下与传统THA相比,具有减少软组织损伤、缩短住院时间、减轻术后疼痛和加快术后康复的优势.
目的 比較後外側小切口全髖關節置換術(THA)與傳統THA的臨床療效及併髮癥.方法 2009年6月至2011年6月,連續無選擇病例採用小切口THA 40例(小切口組),同期採用傳統全髖關節置(THA)40例(傳統組),所有患者均由同一位主刀醫生完成手術.對兩組患者在切口長度、手術時間、術中齣血量、術後引流量、術後疼痛直觀模擬量錶(VAS)、下地負重時間、住院天數、全髖關節置換術Harris評分等方麵進行比較.結果 兩組在切口長度、術後疼痛評分(VAS)、下地負重時間、住院天數及術後1箇月Harris評分比較,差異有統計學意義(P＜0.05),小切口組優于常規組;而兩組患者的年齡、體質量指數(BMI)、術前Hams評分、手術時間、術中齣血量、術後引流量及術後3、6、12箇月Harris評分比較,差異無統計學意義(P＞0.05).結論 後外側小切口THA在適宜手術適應證前提下與傳統THA相比,具有減少軟組織損傷、縮短住院時間、減輕術後疼痛和加快術後康複的優勢.
목적 비교후외측소절구전관관절치환술(THA)여전통THA적림상료효급병발증.방법 2009년6월지2011년6월,련속무선택병례채용소절구THA 40례(소절구조),동기채용전통전관관절치(THA)40례(전통조),소유환자균유동일위주도의생완성수술.대량조환자재절구장도、수술시간、술중출혈량、술후인류량、술후동통직관모의량표(VAS)、하지부중시간、주원천수、전관관절치환술Harris평분등방면진행비교.결과 량조재절구장도、술후동통평분(VAS)、하지부중시간、주원천수급술후1개월Harris평분비교,차이유통계학의의(P＜0.05),소절구조우우상규조;이량조환자적년령、체질량지수(BMI)、술전Hams평분、수술시간、술중출혈량、술후인류량급술후3、6、12개월Harris평분비교,차이무통계학의의(P＞0.05).결론 후외측소절구THA재괄의수술괄응증전제하여전통THA상비,구유감소연조직손상、축단주원시간、감경술후동통화가쾌술후강복적우세.
Objective To compare the efficacy and complications of mini-incision approach in total hip arthroplasty (THA) and conventional approach in THA.Methods From June 2009 to June 2011,Eighty consecutive patients(80 hips)were divided into the MIS group and THA group that were performed through a standard posterolateral approach at the same period.All the surgery were performed by the same surgeon.Incision length,operation time,peri-operative blood loss,post-operative drainage,post-operative VAS pain score,weight-bearing ambulation time,postoperative hospitalization,THA Harris score were analyzed and compared between the two groups.Results There were significant difference in incision length,post-operative VAS pain score,the loading time,post-operative hospitalization and post-operative 1 month Harris score between the two groups.But there were no statistically differences in the patient' s age,body mass index,pre-operative Harris score,operation time,peri-operative the blood loss,post-operative drainage and postoperative 3 months,6 months,12 months Harris score between two groups.Conclusions Posterolateral mini-incision approach in THA can decrease surgical trauma to the soft tissues,shorten hospitalization time,reduce post-operative pain and improve rehabilitation compared with the conventional approach in THA.
