前外侧小切口与常规后外侧切口全髋关节置换的疗效对比分析  

Comparative Analysis of the Effect of Anterior Lateral Small Incision and Conventional Posterior Lateral Incision for Total Hip Arthroplasty

作　　者：白鹏[1] 

机构地区：[1]内蒙古通辽市医院骨二科,028000

出　　处：《中国继续医学教育》2016年第5期124-125,共2页China Continuing Medical Education

摘　　要：目的探究前外侧小切口与常规后外侧切口全髋关节置换的疗效差异。方法选择我院2014年1-12月收治的86例行全髋关节置换术的患者作为观察对象,根据患者的实际手术方式分为甲组42例（行前外侧小切口全髋关节置换术）;乙组44例（行常规后外侧切口全髋关节置换）。对两组的临床疗效进行对比。结果对比两组的结果可见,甲组患者的手术时间更短、术中出血量更少,差异具有统计学意义（P〈0.05）;同时,甲组患者置换手术后3个月的髋关节Harris评分高于乙组,差异有统计学意义（P〈0.05）,1年的Harris评分差异无统计学意义（P〉0.05）。结论前外侧小切口全髋关节置换术的治疗效果好,对比常规后外侧切口全髋关节置换的创伤更小、髋关节功能恢复更快,是一种安全可行的治疗方法。Objective To explore the anterolateral small incision with conventional posterolateral incision the curative effect of total hip replacement. Methods 86 patients underwent total hip replacement were chosen as research object in our hospital from January to December 2014, according to the actual operation method is divided into A group of 42 patients with total hip replacement（anterior lateral small incision）, In 44 cases of B（conventional posterolateral incision total hip replacement）. In the clinical curative effect of two groups were compared. Results Comparing the results of the two groups, patients with first division of shorter operation time, intraoperative blood loss, less statistically significant difference（P〈0.05）. At the same time, A group 3 months after replacement surgery in patients with Harris hip score significantly higher than group B, also significant difference（P〈0.05）, there was no statistically significant difference Harris rating of 1 year（P〈0.05）. Conclusion The anterolateral small incision total hip replacement in the treatment effect is good, compared to conventional posterolateral incision total hip replacement of less trauma, hip function recover faster, is a safe and feasible treatment.

关 键 词：前外侧小切口 后外侧切口 全髋关节置换 临床效果 

分 类 号：R687[医药卫生—骨科学]