直接前方入路与后外侧入路行人工全髋关节置换术对髋臼假体位置影响的比较研究

发布时间：2018-03-09 11:49

本文选题：人工全髋关节置换术　切入点：直接前方入路　出处：《中国修复重建外科杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的比较直接前方入路与传统后外侧入路行人工全髋关节置换术后髋臼假体位置的差异。方法将2008年12月—2015年12月收治并符合选择标准的102例行人工全髋关节置换术患者纳入研究;置换术中采用直接前方入路51例(直接前方入路组)、后外侧入路51例(后外侧入路组)。两组患者性别、年龄、体质量指数、髋别、病因等一般资料比较,差异均无统计学意义(P0.05),具有可比性。于术后第1天患者骨盆正位X线片测量髋臼外展角及前倾角,并根据以上两指标评价髋臼假体是否位于安全区域。结果直接前方入路组髋臼外展角和前倾角分别为(42.28±5.77)、(21.14±5.17)°,后外侧入路组分别为(43.93±7.44)、(21.05±4.10)°,比较差异均无统计学意义(t=1.30,P=0.19;t=0.05,P=0.96)。直接前方入路组髋臼外展角、前倾角位于安全区域比例分别为88.2%(45/51)、80.4%(41/51),后外侧入路组为84.3%(43/51)、82.4%(42/51),比较差异均无统计学意义(χ~2=0.33,P=0.56;χ~2=0.06,P=0.79)。直接前方入路组髋臼外展角及前倾角均在安全区域的比例为70.6%(36/51),后外侧入路组为68.6%(35/51),比较差异无统计学意义(χ~2=0.05,P=0.82)。结论采用直接前方入路或后外侧入路行人工全髋关节置换术,髋臼假体位置无明显差异。
[Abstract]:Objective to compare the position of acetabular prosthesis between direct anterior approach and traditional posterolateral approach after total hip replacement. Methods 102 cases of total hip prosthesis were treated from December 2008 to December 2015 and met the selection criteria. Patients undergoing surgery were included in the study; Direct anterior approach was used in 51 cases (direct anterior approach group, posterior lateral approach group 51 cases). Sex, age, body mass index, hip difference, etiology and other general data were compared between the two groups. The differences were not statistically significant (P 0.05) and comparable. The acetabular abduction angle and anteversion angle were measured on the first day after operation. Results the acetabular abduction angle and anteversion angle in the direct anterior approach group were 42.28 卤5.77 and 21.14 卤5.17 掳, respectively, and the posterior lateral approach group were 43.93 卤7.44 and 21.05 卤4.10 掳, respectively. There was no significant difference between the two groups. Acetabular outreaching angle, The ratio of anterior inclination to safe area was 88.2R / 51N / 80.4 / 41 / 51g, respectively, and that of posterior lateral approach group was 84.343 / 51g / 42 / 51g respectively. There was no significant difference between the two groups (蠂 ~ (20.33) P ~ (0.56); 蠂 ~ (20.06) P ~ (0.79) P ~ (0.79)). The ratio of acetabular extroversion angle and anterior inclination in the direct forward approach group was 70.636 / 51g, and that in the posterolateral approach group was 68.663 / 3551g / g, and the ratio of acetabular angle and anterior inclination was 70.636 / 51g / 51g, respectively (蠂 ~ (20.33) P ~ (0.56) P ~ (0.56); 蠂 ~ (20.06) P ~ (0.79) P ~ (0.79)). There was no significant difference between the two groups (蠂 2 / 0. 05). Conclusion the direct anterior approach or posterolateral approach is used for total hip replacement. There was no significant difference in the position of acetabular prosthesis.
【作者单位】：上海交通大学附属第一人民医院骨科;
【分类号】：R687.4

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