直接前方入路全髋关节置换治疗老年股骨颈骨折的临床疗效

发布时间：2018-04-25 15:54

本文选题：直接前方入路 + 微创全髋关节置换术　；参考：《中国老年学杂志》2017年05期

【摘要】：目的评价直接前方入路微创全髋关节置换治疗老年股骨颈骨折患者临床疗效。方法选择需全髋关节置换的老年股骨颈骨折患者59例为研究对象,随机分成观察组和对照组。观察组实行直接前方入路手术治疗,对照组实行标准外侧入路手术治疗。对比两组置换过程出血量、术后引流量、假体位置、术后疼痛评分、术前术后血清肌酸激酶、置换后Harris评分、相关不良反应等。结果治疗后,观察组平均出血量、术后引流量、术后疼痛数字评价分值、术后血清肌酸激酶均显著低于对照组(P0.05);两组髋臼假体前倾角、外展角及股骨假体前倾角比较无统计学差异(P0.05);观察组置换后3、6、12个月Harris平均评分均显著高于对照组(P0.05)。结论直接前方入路术式微创全髋关节置换术对患者创伤比较小,且患者术后假体位置良好,髋关节功能恢复相对较好。
[Abstract]:Objective to evaluate the clinical effect of direct anterior approach for minimally invasive total hip replacement in elderly patients with femoral neck fracture. Methods 59 elderly patients with femoral neck fracture requiring total hip replacement were randomly divided into observation group and control group. The observation group was treated with direct anterior approach and the control group with standard lateral approach. Blood loss, postoperative drainage, prosthesis location, postoperative pain score, preoperative and postoperative creatine kinase, Harris score, and related adverse reactions were compared between the two groups. Results after treatment, the mean blood loss, postoperative drainage volume, postoperative pain evaluation score, postoperative serum creatine kinase were significantly lower in the observation group than those in the control group (P 0.05), the acetabular prosthesis anteversion angle in both groups was significantly lower than that in the control group. There was no significant difference in abduction angle and femoral prosthesis anteversion between the two groups (P 0.05), and the average Harris score in the observation group was significantly higher than that in the control group (P 0.05). Conclusion the direct anterior approach of minimally invasive total hip replacement is less traumatic, and the prosthesis position is good, and the function of hip joint is relatively good.
【作者单位】：南京医科大学附属淮安第一医院骨科;南京医科大学附属南京医院骨科;
【基金】：国家自然科学基金面上项目(No.NSFC81171745)
【分类号】：R687.4

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