摘要
目的通过微创小切口技术进行人工全髋关节置换术，以达到保护组织、加快术后恢复的目的，同时评估其临床效果。方法2002年6月-2005年1月本治疗组共进行微创小切口人工全髋关节置换术的患者51例，其中单切口36例，双切口15例，并与同时期行传统人工全髋关节置换术的95例患者比较，评估手术效果和患者术后恢复情况。结果微创手术组与传统手术组在术前诊断、年龄、体重、术前髋关节Harris评分、合并症及伤后入院手术准备时间等无显著差异，而两组在失血量（手术失血量及术后3d引流量）、输血量、术后疼痛、术后开始功能锻炼时间、重返正常活动时间、术后并发症及功能评价等方面均存在显著差异。结论小切口入路设计合理，较传统手术入路具有创伤小、出血量少、术后恢复快及术后并发症少等优点，是髋关节置换较好的手术技术，在临床工作中可推广应用。
Purpose To explore the surgical techniques of minimal incision surgery total hip arthroplasty （MIS-THA） for the sake of tissue-preserving and rapid recovery, then to evaluate the clinical effect of MIS. Methods From June 2002 to January 2005,51 patients were treated surgical with MIS approach, in which there were 36 patients with single incision and 15 patients with two-incision. Ninety-five patients treated surgically with traditional approach were compared with the MIS group to evaluate surgical effect and patient recovery condition. Results There was no remarkable difference between the two groups in the aspect of pre-operation diagnosis, age,weight, Harris score, and preoperative patient preparation time. But the comparison between the two groups showed that the MIS surgical technique resulted in less blood loss, less pain, quicker return to function and fewer post-operation complications. Conclusions The results achieved through the MIS approach were significantly better than that of the traditional total hip arthroplasty approach. The MIS is an ideal method for total hip arthroplasty with less surgical trauma,less blood loss,rapidly recovery and lower operative complication rate.
出处
《复旦学报（医学版）》
CAS
CSCD
北大核心
2006年第2期257-259,282,共4页
Fudan University Journal of Medical Sciences
关键词
人工全髋置换术
微创手术
小切口
total hip arthroplasty
minimal surgical
minimal incision
