微创小切口入路在人工全髋关节置换术中的应用价值研究  

Study on practical value of minimally-invasive incision approach in total hip arthroplasty

作　　者：韦文灿 WEI Wen-can(Quanhe Hospital of Linquan County,Fuyang 236400,China)

机构地区：[1]安徽省临泉县泉河医院,236400

出　　处：《中国实用医药》2021年第18期59-62,共4页China Practical Medicine

摘　　要：目的研究在人工全髋关节置换术中采用微创小切口入路的临床疗效。方法40例行人工全髋关节置换术患者,采用随机信封分组法分为对照组和观察组,每组20例。对照组术中采用传统经外侧入路,观察组术中采用微创小切口入路。比较两组临床相关指标、术后并发症发生情况、生活质量及术后3 d、6个月疼痛情况、髋关节功能。结果观察组手术时间(83.68±11.78)min与对照组的(84.13±12.03)min比较差异无统计学意义(t=0.120,P=0.906>0.05);观察组术中出血量(320.51±168.37)ml、术后引流量(200.21±127.23)ml少于对照组的(537.14±170.94)、(476.94±186.41)ml,住院时间(14.00±2.17)d短于对照组的(17.98±2.69)d,差异具有统计学意义(t=4.038、5.484、5.150,P=0.000、0.000、0.000<0.05)。观察组术后并发症发生率低于对照组,差异具有统计学意义(χ^(2)=4.800,P=0.028<0.05)。术后3 d,观察组视觉模拟评分法(VAS)评分明显低于对照组,差异具有统计学意义(t=7.042,P=0.000<0.05);但两组Harris评分比较差异无统计学意义(t=0.319,P=0.751>0.05)。术后6个月,两组VAS评分均较本组术后3 d降低,Harris评分较本组术后3 d提高,差异具有统计学意义(P<0.05);两组VAS、Harris评分比较,差异无统计学意义(t=1.321、0.161,P=0.195、0.873>0.05)。观察组生理功能、心理功能、社会功能评分均高于对照组,差异具有统计学意义(P<0.05)。结论人工全髋关节置换术中采用微创小切口入路能有效改善临床各项指标,减少创伤,有助于提升患者生活质量,临床应用价值较高。Objective To study the clinical efficacy of minimally-invasive incision approach in total hip arthroplasty.Methods A total of 40 patients with total hip arthroplasty were divided into control group and observation group according to random envelope grouping method,with 20 cases in each group.The control group was treated with traditional translateral approach,and the observation group was treated with minimally-invasive incision approach.The clinical related indicators,occurrence of postoperative complications,quality of life,pain and hip joint function at 3 d and 6 months after operation were compared between the two groups.Results The operation time(83.68±11.78)min of the observation group had no statistically significant difference compared with(84.13±12.03)min of the control group(t=0.120,P=0.906>0.05).The intraoperative blood loss(320.51±168.37)ml and postoperative drainage(200.21±127.23)ml of the observation group were less than(537.14±170.94)and(476.94±186.41)ml of the control group,and hospitalization time(14.00±2.17)d was shorter than(17.98±2.69)d of the control group.All the difference was statistically significant(t=4.038,5.484,5.150;P=0.000,0.000,0.000<0.05).The incidence of postoperative complications of the observation group was lower than that of the control group,and the difference was statistically significant(χ^(2)=4.800,P=0.028<0.05).At 3 d after operation,the visual analogue scale(VAS)score of the observation group was obviously lower than that of the control group,and the difference was statistically significant(t=7.042,P=0.000<0.05).But there was no statistically significant difference in Harris score between the two groups(t=0.319,P=0.751>0.05).At 6 months after operation,the VAS score of the two groups of the two groups were lower than those at 3 d after operation,and Harris score was higher than those at 3 d after operation.All the difference was statistically significant(P<0.05).There was no statistically significant difference in VAS and Harris score between the two groups(t=1.

关 键 词：微创小切口入路 人工全髋关节置换术 临床疗效 并发症 

分 类 号：R687.4[医药卫生—骨科学]