直接前入路与后外侧入路全髋关节置换术临床效果比较.pdf

602019年8月第5卷第8期

直接前入路与后外侧入路全髋关节置换术临床

效果比较

云南省保山市人民医院骨二科袁云南保山678000

目的比较直接前入路渊DAA冤和后外侧入路渊PLA冤全髋关节置换术渊THA冤的临床疗效遥方法用野随机分配法冶将该院从

2016年7月要2018年12月收治的48例接受THA治疗的患者均分为对照组和观察组两种袁对照组予以PLA全髋关节置换术

治疗袁观察组予以DAA全髋关节置换术治疗袁对比两组患者的临床观察指标和术后并发症发生情况遥结果两组患者的手术

时间[渊110.5依22.1冤min尧渊120.6依23.2冤min]和并发症总发生率渊20.83%尧16.67%冤对比差异无统计学意义渊t=1.544袁字=0.137袁P=2

0.129尧0.712冤袁观察组患者的术中出血量[渊142.2依35.4冤mL]和切口长度[渊10.0依1.2冤cm]要低于对照组[渊203.3依42.1冤mL尧渊12.9依2.6冤

cm]袁住院时间[渊9.3依2.4冤d]比对照组[渊13.6依2.9冤d]短袁疼痛[渊3.3依0.6冤分]和髋关节功能评分分数[渊92.6依18.7冤分]均低于对照组

[渊4.9依1.3冤分尧渊79.56依12.3冤分]袁差异有统计学意义渊t=5.442尧4.961尧5.596尧5.475尧2.854袁P=0.001冤遥结论DAA下THA比PLA更

能减少患者术后的住院时间和疼痛感受袁更有利于早期髋关节功能恢复袁值得推广遥

直接前入路曰后外侧入路曰全髋关节置换术曰临床观察指标曰并发症发生率

doi10.11966/j.issn.2095-994X.2019.05.08.20

LIYu-kang

DepartmentofOrthopaedics,BaoshanPeoplesHospital,Baoshan,YunnanProvince,678000China

ObjectiveTocomparetheclinicaloutcomesofdirectanteriorapproach(DAA)andposteriorlateralapproach(PLA)totalhip

arthroplasty(THA).Methods48patientswhounderwentTHAtreatmentfromJuly2016toDecember2018inourhospitalweredivid鄄

edintotwogroups:controlgroupandobservationgroup.PLApatientsunderwenttotalhiparthroplastytreatment,theobservation

groupwastreatedwithDAAtotalhiparthroplasty,andtheclinicalobservationindexesandpostoperativecomplicationsofthetwo

groupswerecompared.ResultsTherewasnostatisticallysignificantdifferenceintheoperationtimebetweenthetwogroups[(110.5依

22.1)min,(120.6依23.2)min]andthetotalincidenceofcomplications(20.83%,16.67%)(t=1.544,字=0.137,P=0.129,0.712),thein鄄2

traoperativebloodloss[(142.2依35.4)mL]andthelengthoftheincision[(10.0依1.2)cm]intheobservationgroupwerelowerthanthe

controlgroup[(203.3依42.1)mL,(12.9依2.6)cm],hospitalizationtime[(9.3依2.4)d]wasshorterthancontrolgroup[(13.6依2.9)d],pain

[(3.3依