Super PATH入路微创全髋关节置换14例早期随访报告  

Minimally invasive total hip replacement with Super PATH approach:14 cases of early follow-up report

作　　者：朱成栋[1] 乔高山[1] 朱乐银[1] 印文彩 夏建忠[1] 黄华[1] 夏正荣[1] 钱俊[1] 

机构地区：[1]扬州大学医学院附属仪征医院骨科,江苏211400

出　　处：《中国骨与关节杂志》2017年第9期669-673,共5页Chinese Journal of Bone and Joint

摘　　要：目的探讨Super PATH(supercapsular percutaneously-assisted totalhip)入路微创全髋关节置换(total hip arthroplasty,THA)的手术方法和早期临床疗效。方法回顾性分析2015年11月至2016年8月,我院行Super PATH入路微创THA 14例(15髋),观察切口长度、住院时间、手术时间、术中出血量及髋关节Harris评分。结果切口平均长度(7.06±1.05)cm,住院平均时间(5.7±0.6)天,手术平均时间(106.0±14.3)min,术中平均失血量(270.6±63.2)ml。Harris评分,术前:(27.9±4.3)分,术后3天:(63.2±5.1)分,术后3个月:(83.1±5.7)分,术后Harris评分较术前逐渐提高,差异有统计学意义(P<0.05)。患者随访期限内均未出现切口感染、骨折、DVT、假体脱位、假体松动及双下肢不等长等严重并发症。结论Super PATH入路微创THA早期疗效满意,具有切口小、创伤小、恢复快等优点,能显著减轻术后疼痛、降低术后关节脱位等并发症的风险,达到早期快速康复目的。但该技术临床应用时间短,其中远期疗效及相关并发症有待进一步观察。Objective To explore the operative method and early clinical results of minimally invasive total hip arthroplasty （ THA ） with supercapsular percutaneously-assisted total hip （ Super PATH ） approach. Methods We retrospectively analyzed 14 patients （ 15 hips ） who underwent minimally invasive THA with Super PATH approach from November 2015 to August 2016. The length of incision, length of hospital stay, operation time, intraoperative blood loss and Harris hip score were observed. Results The average length of incision was （ 7.06 ± 1.05 ） cm, and the average hospital stay was （ 5.7 ± 0.6 ） days. The average operation time was （ 106.0 ±14.3 ） min, and the average blood loss during the operation was （ 270.6 ± 63.2 ） ml. The Harris hip score was （ 27.9 ± 4.3 ） preoperatively, （ 63.2 ± 5.1 ） at 3 days after the operation, and （ 83.1 ±5.7 ） at 3 months after the operation. The Harris score of the hip joint gradually increased after the operation, and the differences were statistically significant （ P 〈 0.05 ）. No complications such as incision infection, fracture, deep vein thrombosis （ DVT ）, prosthesis dislocation,prosthesis loosening or unequal length of lower limbs were found in the follow-up. Conclusions Early clinical results of minimally invasive THA with Super PATH approach are satisfactory, with the advantages of small incision, quick recovery being less invasire, etc. The postoperative pain, risk of postoperative dislocation and other complications can be significantly reduced, so as to achieve the purpose of rapid recovery. However, the time of clinical application is short, and the medium-long-term results and related complications need to be further observed.

关 键 词：关节成形术 置换 髋 最小侵入性外科手术 髋关节 

分 类 号：R687.4[医药卫生—骨科学] R616.5[医药卫生—外科学]