SuperPath微创后入路全髋置换的早期疗效及应用价值

发布时间：2018-07-05 02:18

本文选题：SuperPath + 人工全髋关节置换术　；参考：《实用医学杂志》2017年19期

【摘要】：目的探讨Super Path微创后入路与标准后入路初次全髋关节置换(THA)早期临床疗效的差异。方法回顾性分析2015年3月至2016年9月我院采用Super Path微创后入路THA(Super Path组)31例,观察术中及术后相关指标,并与同期21例行标准后入路THA手术(标准组)进行比较。结果 Super Path组手术切口长度、住院时间均低于标准组,手术时间高于标准组(P0.05),Super Path组术后1、3、5 d改良Barthel指数和Berg平衡量表评分及术后6周、3个月Harris评分均显著高于标准组(P0.05),两组术后髋关节功能恢复情况令人满意,无术后严重并发症。结论与标准后入路THA比,Super Path微创后入路THA具有切口小、损伤小、术后活动快、可快速康复等优点,可以缩短住院时间,减少并发症的发生,提高患者满意度高,值得在临床推广。
[Abstract]:Objective to investigate the early clinical effects of Super path minimally invasive posterior approach and standard posterior approach in primary total hip replacement (tha). Methods from March 2015 to September 2016, 31 cases of Super path minimally invasive posterior approach tha (Super path group) were retrospectively analyzed. The relevant indexes were observed during and after operation, and compared with 21 cases of standard posterior approach tha operation (standard group). Results the length of incision and the length of hospital stay in Super path group were lower than those in standard group. The operative time was higher than that in the standard group (P0.05). The modified Barthel index and Berg balance scale score and the Harris score at 3 months after operation were significantly higher in the Super path group than those in the standard group (P0.05). The recovery of hip function in the two groups was satisfactory and there were no serious postoperative complications. Conclusion compared with the standard posterior approach, tha has the advantages of less incision, less injury, faster postoperative activity and faster recovery than Super path minimally invasive posterior approach. It can shorten the hospitalization time, reduce the occurrence of complications and improve the satisfaction of patients. It is worth popularizing in clinic.
【作者单位】：南方医科大学研究生院;广州军区广州总医院骨科医院;南方医科大学;
【分类号】：R687.4

【相似文献】