中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2015年
18期
2-4
,共3页
王晖%马超%秦泗通%王涛%许永%那健
王暉%馬超%秦泗通%王濤%許永%那健
왕휘%마초%진사통%왕도%허영%나건
微创%后外侧入路%髋关节置换术%临床疗效
微創%後外側入路%髖關節置換術%臨床療效
미창%후외측입로%관관절치환술%림상료효
Minimally invasive%Posterolateral approach%Total Hip replacement%Clinical curative effect
目的：分析探讨微创后外侧入路髋关节置换术的手术方法和临床应用效果，为临床治疗提供依据。方法：选择在我院行微创后外侧入路髋关节置换术的31例患者为研究对象，回顾性分析其临床治疗资料。结果：手术切口长度平均8．13±0．76cm，手术时间平均88．3±4．50分钟，术中出血平均364±78 ml，术后切口引流量平均258±22ml，患者术后髋关节功能恢复情况令人满意，临床效果优良率为93．6％，术后并发症发生率为64．％，术后没有发生切口感染、双下肢长度不等长等严重并发症，患者临床效果满意度较高。结论：微创后外侧入路全髋关节置换术，可以缩短患者的手术和住院时间，减轻患者术后疼痛的程度和并发症的发生，减少了不必要的软组织损伤和术中出血量，且手术切口小，患者日常生活功能恢复快，髋关节功能康复效果好，患者临床满意度高，值得在临床推广应用。
目的：分析探討微創後外側入路髖關節置換術的手術方法和臨床應用效果，為臨床治療提供依據。方法：選擇在我院行微創後外側入路髖關節置換術的31例患者為研究對象，迴顧性分析其臨床治療資料。結果：手術切口長度平均8．13±0．76cm，手術時間平均88．3±4．50分鐘，術中齣血平均364±78 ml，術後切口引流量平均258±22ml，患者術後髖關節功能恢複情況令人滿意，臨床效果優良率為93．6％，術後併髮癥髮生率為64．％，術後沒有髮生切口感染、雙下肢長度不等長等嚴重併髮癥，患者臨床效果滿意度較高。結論：微創後外側入路全髖關節置換術，可以縮短患者的手術和住院時間，減輕患者術後疼痛的程度和併髮癥的髮生，減少瞭不必要的軟組織損傷和術中齣血量，且手術切口小，患者日常生活功能恢複快，髖關節功能康複效果好，患者臨床滿意度高，值得在臨床推廣應用。
목적：분석탐토미창후외측입로관관절치환술적수술방법화림상응용효과，위림상치료제공의거。방법：선택재아원행미창후외측입로관관절치환술적31례환자위연구대상，회고성분석기림상치료자료。결과：수술절구장도평균8．13±0．76cm，수술시간평균88．3±4．50분종，술중출혈평균364±78 ml，술후절구인류량평균258±22ml，환자술후관관절공능회복정황령인만의，림상효과우량솔위93．6％，술후병발증발생솔위64．％，술후몰유발생절구감염、쌍하지장도불등장등엄중병발증，환자림상효과만의도교고。결론：미창후외측입로전관관절치환술，가이축단환자적수술화주원시간，감경환자술후동통적정도화병발증적발생，감소료불필요적연조직손상화술중출혈량，차수술절구소，환자일상생활공능회복쾌，관관절공능강복효과호，환자림상만의도고，치득재림상추엄응용。
Objective:To analyze minimally invasive posterolateral approach hip replacement surgery method and clinical application effect, provide the basis for clinical treatment.Methods: In our line of minimally invasive posterolateral approach hip replacement of 31 patients as the research object, the clinical data were retrospectively analyzed.Results:The average (8.13 ±0.76) cm incision length, operative time average (88.3 ±4.50) min, average intraoperative hemorrhage (364 ±78) ml, postoperative drainage of the average (258 ±22) ml, postoperative patients with hip joint function recovery is satisfactory, the rate of good clinical effect was 93.6%, the inci-dence of postoperative complications was 6.4% , postoperative incision infection did not occur, equal length of lower extremities, and no serious complications, patients with clinical effect satisfaction was higher.Conclusion: Minimally invasive total hip replacement could shorten the patient's surgery and hospitalization time, reduce the degree of patients with postoperative pain and complications, and reduce the unnecessary soft tissue injuries and intraoperative blood loss, and small incision, daily living of functional recovery in patients was fast, hip joint function rehabilitation effect was good, clinical satisfaction was high, might be worth popularizing in clinical application.
