直接前入路与微创SuperPath入路对创伤性股骨颈骨折病人行全髋关节置换术的疗效  

The effect of direct anterior approach and minimally invasive SuperPath approach on THA in patients with traumatic femoral neck fracture

作　　者：汤月平[1] 顾梅 TANG Yueping;GU Mei(Department of Orthopedics,Suzhou Hospital Affiliated to Nanjing Medical University,Jiangsu,Suzhou 215008,China;不详)

机构地区：[1]南京医科大学附属苏州医院骨科,江苏苏州215008 [2]南京医科大学附属苏州医院老年科,江苏苏州215008

出　　处：《临床外科杂志》2022年第3期272-275,共4页Journal of Clinical Surgery

摘　　要：目的 观察直接前入路与微创SuperPath入路对创伤性股骨颈骨折病人行全髋关节置换术(total hip arthroplasty, THA)的疗效。方法 2017年1月-2019年10月收治的创伤性股骨颈骨折病人240例,按照随机数表法将其分为观察组和对照组,每组各120例。观察组采取微创SuperPath入路治疗,对照组采取直接前入路法治疗,比较两组病人手术时间、术中出血量、术后卧床时间、骨折愈合时间、Harris评分、起立-行走时间、单腿站立时间、6分钟步行距离以及生活质量之间的差异。结果 两组病人手术时间、术中出血量比较差异无统计学意义(P>0.05),观察组病人术后卧床时间短于对照组,术后7天、1个月、12个月病人的Harris评分高于对照组,差异有统计学意义(P<0.05);治疗后,观察组起立-行走时间短于对照组,单腿站立时间以及6分钟步行距离长于对照组,差异有统计学意义(P<0.05);观察组病人躯体疼痛、社会功能、心理健康以及总体健康情况优于对照组,差异有统计学意义(P<0.05)。结论 创伤性股骨颈骨折病人采取微创SuperPath入路THA手术,病人关节囊的保护性作用较好,疗效显著。Objective To observe the effect of direct anterior approach and minimally invasive SuperPath approach on THA of traumatic femoral neck fracture.Methods 240 patients with traumatic fracture diagnosed from January 2017 to October 2019 were selected as the research objects.According to the random number table method, they were divided into observation group and control groupp, with 120 cases in each group.The observation group was treated with minimally invasive technology superpath, and the control group was treated with direct approach.The operation time and intraoperative bleeding rate of the two groups were observed Blood volume, postoperative bed rest time, fracture healing time, Harris score, standing walking time, single leg standing test time, 6 min walking test distance and quality of life.Result There was no significant difference in operation time and intraoperative bleeding volume between the two groups(P>0.05).The postoperative bed rest time of the observation group was significantly lower than that of the control group(P<0.05).The Harris scores of patients at 7 days, 1 month and 12 months were significantly higher than those of the control group(P<0.05).After treatment, the standing walking time of patients in the observation group was significantly lower than that in the control group, and the single leg standing test time and 6 min walking test distance were significantly higher than those in the control group(P<0.05).The physical pain, social function, mental health and overall health of the observation group were significantly higher than those of the control group(P<0.05).Conclusion Minimally invasive THA surgery through superpath approach is adopted in patients with traumatic femoral neck fracture.The protective effect of joint capsule is good and the curative effect is remarkable.

关 键 词：SuperPath入路 直接前入路 股骨颈骨折 全髋关节置换术 生活质量 

分 类 号：R687.4[医药卫生—骨科学]