不同切口对全髋关节置换术患者的影响比较  

The comparison on the influence of different incisions for patients with total hip replacement

作　　者：白中杰 都晋江 

机构地区：[1]太原煤气化职工医院,山西太原030024

出　　处：《中国当代医药》2011年第27期42-43,共2页China Modern Medicine

摘　　要：目的:比较不同切口对全髋关节置换术患者的影响。方法:选取2008年1月～2010年12月于本院进行治疗的72例全髋关节置换术患者为研究对象,将其随机分为A组(常规手术组)36例和B组(微创小切口手术组)36例,后将两组患者手术前后的血清CRP、IL-6、TNF-α及D-二聚体水平进行检测及比较。结果:术后1d及3dB组的血清CRP、IL-6、TNF-α及D-二聚体水平均低于A组,P均<0.05,均差异有统计学意义。结论:微创小切口全髋关节置换术可减轻患者的炎性反应,降低对机体的刺激,避免血栓的发生。Objective：To compare the influence of different incisions for patients with total hip replacement.Methods：72 patients treated with total hip replacement in our hospital from January 2008 to December 2010 were selected as research object,and they were randomly divided into A group（routine surgery group） 36 cases and B group（minimally invasive incision surgery group） 36 cases,then the serum CRP,IL-6,TNF-α and D-dimer of two groups before and after the surgery were detected and compared.Results：The serum CRP,IL-6,TNF-α and D-dimer of B group after the surgery at first and third day were all lower than those of A group,all P0.05,there were all significant differences.Conclusion：The minimally invasive incision total hip replacement can significantly relieve inflammation,decrease stimulation and avoid occurrence of thrombus.

关 键 词：常规切口 微创小切口 全髋关节置换术 影响 

分 类 号：R684[医药卫生—骨科学]