前外侧微创入路全髋置换术的近期疗效观察  

Short-term clinical effect of anterolateral minimally invasive approach of total hip replacement

作　　者：王强[1] 贺华正[1] 杨昕[1] 董利军[1] 

机构地区：[1]皖南医学院弋矶山医院关节骨科,安徽省芜湖241000

出　　处：《中国医师杂志》2015年第1期25-27,共3页Journal of Chinese Physician

摘　　要：目的探讨前外侧微创入路全髋置换术的近期临床效果。方法选择本院行全髋置换术患者35例，分前外侧微创入路组（A组）和标准后侧人路组（B组），对两组患者的手术时间、出血量、输血量、髋臼杯准确度、并发症发生率和术前术后Harris髋关节评分进行比较。结果A组手术时间长于B组，差异有统计学意义（P〈0．05）；在出血量、输血量、髋臼杯准确度、术前术后Harris髋关节评分和并发症发生率方面，两组差异无统计学意义（P〉0．05）。结论前外侧微创入路全髋置换术同标准后侧入路全髋置换术同样安全有效，医生应选择自己熟悉的入路进行手术。Objective To investigate short-term clinical effect of anterolateral minimally invasive approach of total hip replacement. Methods A total of 35 patients treated by total hip replacement was di- vided into A and B groups. Group A used anterolateral minimally invasive approach, and group B used standard posterior Moore approach. The clinical data of operation time, amount of bleeding, blood transfusion volume, component position, Harris hip score, and complications of two groups were statistically compared. Results In terms of operation time, group A had certain disadvantages than group B. No significant difference Was found between two groups in terms of operation time, amount of bleeding, blood transfusion volume, component position, Harris hip score, and complications. Conclusions In total hip replacement, anterolateral minimally invasive approach was safe and effective compared to standard posterior Moore ap- proach. Doctors should choose their familiar surgical approach in operation.

关 键 词：关节成形术 置换 髋 外科手术 微创性 治疗结果 

分 类 号：R687.4[医药卫生—骨科学]