CAJ | 학술논문

目的：探讨手术入路对髋关节置换术后髋关节功能恢复的影响。方法选取400例髋关节疾病患者采用不同种类手术入路方案治疗（前外侧80例、外侧50例、后外侧70例、后侧入100例和小切口100例的入路方案），记录其术前、术后2、4、8、24周的Harris评分变化情况，给予统计学分析后得出结论。结果前外侧、外侧、后外侧、后侧和小切口的入路手术方案治疗患者术后恢复率分别为90%、93%、96%、100%、100%。结论从实验结果可以看出，对患者采用不同的手术入路方案，会有不同的效果，但是后侧入路和小切口入路两种方案，有着明显的优势，可以推荐临床使用。
목적：탐토수술입로대관관절치환술후관관절공능회복적영향。방법선취400례관관절질병환자채용불동충류수술입로방안치료（전외측80례、외측50례、후외측70례、후측입100례화소절구100례적입로방안），기록기술전、술후2、4、8、24주적Harris평분변화정황，급여통계학분석후득출결론。결과전외측、외측、후외측、후측화소절구적입로수술방안치료환자술후회복솔분별위90%、93%、96%、100%、100%。결론종실험결과가이간출，대환자채용불동적수술입로방안，회유불동적효과，단시후측입로화소절구입로량충방안，유착명현적우세，가이추천림상사용。
Objective To investigate the effect of surgical approach on the hip joint functional recovery after hip joint replacement. Methods 400 patients with hip joint disease were selected and treated with different surgical approaches (80 cases were treated with anterolateral surgical approach, 50 cases were treated with lateral surgical approach, 70 cases were treated with posterolateral surgical approach, 100 cases were treated with posterior surgical approach, 100 cases were treated with small incision surgical ap-proach). The Harris scores of the patients before the operation, 2, 4, 8, 24 weeks after the operation were recorded and analyzed statistically, then the conclusion was obtained. Results The postoperative recovery rate of anterolateral surgical approach, lateral surgical approach, posterolateral surgical approach, posterior surgical approach, small incision surgical approach for the treatment of the patients was 90%, 93%, 96%, 100%, 100%, respectively. Conclusion It is showed by the result of the experiment that dif-ferent effects can be obtained by different surgical approaches, but the lateral surgical approach and small incision surgical ap-proach these two kinds of schemes have significant advantages, which can be recommended for clinical application.