改良Hardinge入路骨水泥型假体人工股骨头置换术临床疗效分析  

Analysis of clinical efficacy of modified Hardinge approach cemented artificial femoral head replacement

作　　者：张敏 孙钰[2] 李立 陈刚 朱友森 ZHANG Min;SUN Yu;LI Li;CHEN Gang;ZHU Yousen(Department of Orthopedics,Yangzhou Jiangdu People′s Hospital Affiliated to Yangzhou University,Jiangsu Province,Yangzhou225000,China;Department of Joint Surgery,Subei People′s Hospital,Jiangsu Province,Yangzhou225000,China)

机构地区：[1]扬州大学附属扬州市江都人民医院骨科,江苏扬州225000 [2]江苏省苏北人民医院关节外科,江苏扬州225000

出　　处：《中国当代医药》2022年第4期24-28,共5页China Modern Medicine

摘　　要：目的分析改良Hardinge入路骨水泥型假体人工股骨头置换术的临床疗效。方法回顾性分析2016年1月至2019年1月因股骨颈骨折在扬州市江都人民医院骨科行人工股骨头置换的108例老年患者的临床资料,按照手术方式分为观察组(45例)与对照组(63例)。观察组患者采用改良Hardinge入路骨水泥假体,对照组患者采用后外侧入路非骨水泥假体,比较两组患者的切口长度、手术时间、术前及术后血红蛋白量(Hb)、输血率、术后并发症及Harris髋关节功能评分。结果观察组切口长度短于对照组,手术时间长于对照组,差异有统计学意义(P<0.05)。术后1个月,观察组Harris髋关节功能评分高于对照组,差异有统计学意义(P<0.05)。两组的手术前后Hb、输血率、各并发症发生率、术后6个月Harris髋关节功能评分比较,差异无统计学意义(P>0.05)。结论改良Hardinge入路骨水泥型假体人工股骨头置换术具有手术切口小,髋关节功能早期改善快等优点,能够为老年股骨颈骨折的治疗提供新的选择。Objective To analyze the clinical efficacy of modified Hardinge approach cemented artificial femoral head replacement.Methods A retrospective analysis of the clinical data of 108 elderly patients who underwent artificial femoral head replacement in the Department of Orthopedics,Jiangdu People′s Hospital of Yangzhou City from January 2016 to January 2019 due to femoral neck fractures,and divided them into observation group(45 cases)and control group according to the operation method Group(63 cases).The observation group used the modified Hardinge approach bone cement prosthesis,and the control group used the posterolateral approach non-cemented prosthesis.The incision length,operation time,preoperative and postoperative hemoglobin(Hb)and blood transfusion were compared between the two groups.Rate,postoperative complications and Harris hip function score.Results The incision length of the observation group was shorter than that of the control group,and the operation time was longer than that of the control group,the differences were statistically significant(P<0.05).One month after the operation,the Harris hip function score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There were no significant differences in Hb,blood transfusion rate,complication rate,Harris hip function score at 6 months after operation between the two groups(P>0.05).Conclusion The modified Hardinge approach cemented femoral head replacement has the advantages of smaller surgical incision and rapid early improvement of hip function.It can provide a new choice for the treatment of femoral neck fracture in the elderly.

关 键 词：老年股骨颈骨折 人工股骨头置换术 改良HARDINGE入路 骨水泥 

分 类 号：R683[医药卫生—骨科学]