后方入路人工全髋关节置换软组织处理方式的比较研究  

A Comparative Study on the Way to Handle Soft Tissueafter Posterior Approach Total Hip Arthroplasty

作　　者：胡晓晖[1] 郝跃东[1] 张鹏[1] 刘卫东[1] 赏后来[1] 

机构地区：[1]南京医科大学附属淮安第一医院骨科,江苏淮安223300

出　　处：《四川医学》2016年第12期1380-1384,共5页Sichuan Medical Journal

摘　　要：目的后方入路人工全髋关节置换后侧关节囊和外旋肌群是否一定要修补尚存争议,本文旨在探讨修复与不修复的差异。方法对91例行后方入路人工全髋关节置换的病例分组在手术时间、术后引流量、harris评分、术后关节稳定性方面进行统计学分析。结果手术时间常规组为(95.7±7.4)min,修复组(97.0±6.7)min,两者差异无统计学意义(P>0.05)。常规组术后引流量为(497.6±57.8)m L,修复组为(377.3±44.9)m L,修复组的术后引流液量明显少于常规组,两者差异有统计学意义(P<0.05)。术后3月髋关节功能harris评分常规组为(89.1±3.5),修复组为(89.3±3.4),两者差异无统计学意义(P>0.05)。结论后方软组织修复并不优于不修复者。Objective To investigate the difference caused by repairing the lateral articular capsule and external rotators or not after post approach total hip arthroplasty.Methods 91 cases of patients with post approach total hip arthroplasty were analyzed statistically in terms of the operation time,postoperative lead flow rate,Harris score,and postoperative joint stability. Results The control group cost（ 95. 7±7. 4） min and the repair group cost（ 97. 0±6. 7） min in operation（ P〉0.05）. The control group had（ 497. 6±57. 8） ml and the repair group had（ 377. 3±44. 9） ml in postoperative lead flow rate（ P〈0.05）. The control group scored（ 89. 1±3. 5） and the repair group scored（ 89. 3±3. 4） in the function of hip joint 3 months after operation according to Harris score（ P〉0.05）.Conclusion Rear soft tissue repair was not superior to non-repair.

关 键 词：全髋关节置换 后方入路 软组织修复 

分 类 号：R687.4[医药卫生—骨科学]