吴长坤;姜任东;杨波;姜鑫;王兆泉;

• 1:潍坊医学院外科学教研室
• 2:新疆医科大学研究生学院
• 3:潍坊市人民医院关节外科
• 4:潍坊市人民医院重症医学科

摘要(Abstract)：

[目的]比较Super PATH微创与常规后外侧入路全髋关节置换术(total hip arthroplasty,THA)的近期临床疗效。[方法]选取2015年8月~2017年5月在潍坊市人民医院关节外科符合标准并接受单侧THA的患者40例作为研究对象,其中20例实施Super PATH微创THA(微创组),20例实施常规后外侧入路THA(常规组)。比较两组患者的切口长度、手术时间、术中出血量、手术前后血红蛋白差值、手术前后疼痛VAS评分及Harris评分、术后并发症(关节脱位、假体周围骨折、下肢深静脉血栓形成、假体周围感染)及术后首次下地时间。[结果]40例患者均顺利完成手术,无血管神经损伤等严重并发症。微创组在切口长度[(7.14±0.33)cm vs(11.75±0.18)cm,P<0.05],术中出血量[(130.00±10.88)ml vs(236.25±13.27)ml,P<0.05],手术前后血红蛋白差值[(26.05±3.19)g/L vs(34.75±2.45)g/L,P<0.05]及术后首次下地时间[(7.90±1.25)h vs(28.10±1.25)h,P<0.05]方面均优于常规组,差异有统计学意义。此外,微创组在术后24h疼痛VAS评分[(2.05±0.76)vs(3.95±0.69),P<0.05]及术后2周髋关节Harris评分[(74.65±1.93)vs(64.85±1.46),P<0.05]优于常规组,差异有统计学意义。但术后半年,两组间在VAS和Harris评分的差异均无统计学意义(P<0.05)。两组患者术后均未发生关节脱位、假体周围骨折、下肢静脉血栓形成及假体周围感染等并发症。[结论]Super PATH微创与常规后外侧入路全髋关节置换术相比,具有切口小、围手术期出血少、术后疼痛轻、术后恢复快等优势,但其远期疗效仍有待进一步观察。

关键词(KeyWords)： 全髋关节置换术(THA);SuperPATH入路;后外侧入路

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 吴长坤;姜任东;杨波;姜鑫;王兆泉;

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参考文献(References)：

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