SuperPATH入路微创人工全髋关节置换术的临床应用

发布时间：2018-01-01 22:02

本文关键词：SuperPATH入路微创人工全髋关节置换术的临床应用　出处：《微创医学》2016年03期 　论文类型：期刊论文

【摘要】：目的探讨Super PATH入路微创人工全髋关节置换术的手术方法和临床疗效。方法行Super PATH入路微创人工全髋关节置换术21例(23髋),观察手术切口长度、术中出血量、引流量、住院时间以及术前、术后3 d、术后3个月和术后6个月的Harris评分。结果行Super PATH入路微创人工全髋关节置换术患者的手术切口长度平均为6.73 cm,手术平均时间(102±11)min,术中平均失血量(274±53)m L,术后24 h引流量平均(123±41)m L,平均住院时间为5.7 d;术后Harris评分均低于术前,且逐渐增高,差异均有统计学意义(P0.05);术后髋关节功能恢复情况令人满意,无切口感染、假体脱位、骨折及双下肢长度不等长等严重并发症。结论 Super PATH入路微创人工全髋关节置换术治疗股骨头坏死具有切口小、损伤小、失血量少、术后活动快、可快速康复等优点,可以缩短住院时间,减轻术后疼痛和并发症的发生,患者满意度高,是一种真正意义上的微创髋关节置换术,值得在临床推广。
[Abstract]:Objective to explore the surgical method and clinical efficacy of Super PATH approach of minimally invasive total hip arthroplasty. Methods Super PATH approach of minimally invasive total hip arthroplasty in 21 cases (23 hips), observe the incision length, bleeding volume, drainage volume, hospitalization time and preoperative, postoperative 3 D, postoperative 3 months and 6 months after surgery, the Harris score. Results Super PATH incision length way of minimally invasive total hip arthroplasty in patients with an average of 6.73 cm, the average operation time (102 + 11) min, the average intraoperative blood loss (274 + 53) m L, 24 h after operation drainage the average (123 + 41) m L, the average hospitalization time was 5.7 D; the postoperative Harris scores were lower than those before operation, and gradually increased, the differences were statistically significant (P0.05); postoperative recovery of hip joint function was satisfactory, without incision infection, prosthesis dislocation, fracture and lower limbs length discrepancy seriously conclusion Supe complications. R PATH approach of minimally invasive total hip arthroplasty with a small incision, less injury of femoral head necrosis, less blood loss, postoperative activity, fast recovery and other advantages, can shorten the hospitalization time, reduce pain and postoperative complications, high patient satisfaction, is a real sense of minimally invasive hip joint replacement, it is worthy of clinical application.

【作者单位】：广东省连州市人民医院外科四区康复医学科;
【分类号】：R687.4
【正文快照】： 人工全髋关节置换术(total hip arthroplasty,THA)是治疗股骨头坏死、股骨颈骨折及骨关节炎等髋关节疾病的有效手段,其通过重建髋关节功能,不仅可减轻患者长期的疼痛,还能使患者恢复正常行走的能力,已经广泛应用于骨科临床[1]。随着微创技术概念的引进,小切口THA方法逐渐在临

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