外侧小切口全髋置换早期疗效对比研究  

Early comparison of lateral approach minimally incision total hip arthroplasty with a conventional incision operation

作　　者：徐耿填[1] 许少榆[1] 庄怀铭[1] 郭跃跃[1] 林勇彬[1] 

机构地区：[1]揭阳市人民医院,广东揭阳522000

出　　处：《基层医学论坛》2013年第19期2460-2462,共3页The Medical Forum

摘　　要：目的评价外侧小切口全髋关节置换术(THA)的早期疗效。方法选择2005年1月—2010年1月行外侧小切口全髋关节置换术120例(132髋)患者作为试验组,选择同期接受常规外侧切口手术76例(82髋)作为对照组,比较2组患者术后3个月、术后6个月、术后1年假体位置及Harris评分等。结果术后2组患者假体位置比较无显著性差异,试验组在术后3,6个月Harris评分较对照组高;术后1年,2组Harris评分比较差异无统计学意义。结论外侧小切口全髋置换术术后早期在功能及软组织损伤上比常规切口全髋置换有明显优势,随着时间的推移,差异减小。外侧小切口全髋关节置换的中远期疗效需要进一步评估。Objective To report the early follow-up results of lateral opproach minimal incision and conventional incision for total hip arthroplasty（THA）.Methods From February 2002 to June 2007,132 cases（126 patients） of THA were performed through lateral mini-incision,for comparison,another 82 cases（76 patients） of THA were performed through conventional lateral approach incision.All the patients were followed up for more than one year.The items compared included prosthesis position,Harris Hip Score（HHS）and Short Musculoskeletal Function Assessment（SMFA）.Results The prosthesis positions were similar in both two groups.HHS was significantly higher in MI-THA group after patients were followed up for 3 and 6 months,but there was no statistical difference in one year.Conclusion Compared with conventional total hip arthroplasty,total hip arthroplasty with a lateral minimal incision was advanced in both early functional outcome and soft tissue injury.The difference of two groups was decreased with the lapse of time.Further evaluation of the long-term outcome was still needed for lateral approach MI-THA.

关 键 词：髋关节 置换 小切口 早期疗效 

分 类 号：R687.4[医药卫生—骨科学]