快速康复模式下微创直接前入路与后外侧入路半髋关节置换术治疗老年股骨颈骨折的效果对比  

Comparison of the Efficacy of Minimally Invasive Direct Anterior Approach and Posterolateral Approach in the Treatment of Elderly Femoral Neck Fractures under Rapid Rehabilitation Mode

作　　者：任昌松 任青崧 章厚芬 廖亚南 REN Changsong;REN Qingsong;ZHANG Houfen;LIAO Yanan(Department of Orthopedics,Kaizhou District People’s Hospital,Chongqing 400000,China)

机构地区：[1]重庆市开州区人民医院骨外科,重庆400000

出　　处：《中国伤残医学》2024年第24期5-8,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：重庆市卫健委项目(2023WSJK110)。

摘　　要：目的:探讨快速康复模式下微创直接前入路与后外侧入路半髋关节置换术治疗老年股骨颈骨折患者的效果。方法:选取2023年1月—2024年1月重庆市开州区人民医院收治的60例老年股骨颈骨折患者为对象,采用随机数字表法将其分为对照组和研究组,各30例。两组均干预3个月。研究组实施微创直接前入路方式,对照组实施微创后外侧入路方式,所有患者均配合快速康复干预模式。比较两组围手术期指标、髋关节功能、生活质量。结果:两组手术时间比较,差异无统计学意义(P>0.05);研究组术中出血量、术后引流量低于对照组,术后首次首次下床时间、住院时间短于对照组,差异有统计学意义(P<0.05)。干预后1、2、3个月,两组Harris髋关节功能评分量表评分均较干预前升高,且研究组均高于对照组,差异有统计学意义(P<0.05)。干预后,两组各维度评分均较干预前升高,且研究组各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论:老年股骨颈骨折患者应用快速康复模式下微创直接前入路半髋置换术能够更好地改善膝关节功能及生活质量,优化围手术期指标,具有较好的应用效果。Objective:To investigate the efficacy of minimally invasive direct anterior and posterolateral semi-hip replacement in the treatment of elderly patients with femoral neck fracture under rapid rehabilitation mode..Methods:Sixty elderly patients with femoral neck fracture admitted to Kaizhou District People's Hospital of Chongqing from January 2023 to January 2024 were selected as the study objects,and were divided into control group and study group by random number table method,with 30 cases in each group.Both groups were expected to undergo hip replacement.Both groups were intervened for 3 months..they were divided into a control group and an study group using random number table method,with 30 cases in each group.The study group underwent a minimally invasive direct anterior approach,while the control group underwent a minimally invasive posterior lateral approach,all patients participated in the rapid rehabilitation intervention mode.The Perioperative indexes,hip function and quality of life were compared between the two groups.Results:The difference in surgical time between the two groups was not statistically significant(P>0.05);the intraoperative bleeding volume and drainage volume after replacement in the study group were lower than those in the control group,the first time to get out of bed and hospitalization time were shorter than those in the control group,with statistically significant(P<0.05).At 1,2,and 3 months after the replacement,the Harris Hip Function Scale of both groups increased compared to before the replacement,and the Harris scores of the study group were higher than those of the control group,with statistical significance(P<0.05).After intervention,the scores of all dimensions of quality of life in both groups increased compared to before intervention,and the scores of all dimensions in World Health Organization Quality of Life Inventory Brief in the study group were higher than those in the control group,with statistical significance(P<0.05).Conclusion:The application of minimally invasi

关 键 词：老年股骨颈骨折 微创直接前入路半髋置换术 微创后外侧入路半髋置换术 快速康复模式 关节功能 生存质量 术后康复 手术指标 

分 类 号：R683[医药卫生—骨科学]