摘要
目的探究临床经前外侧做小切口在全髋关节置换术中的应用。方法选取该院2012年6月至2013年5月收治的68例因股骨颈骨折入院治疗的患者,分为传统组和前外侧组,按入院时间进行分配,各34例。传统组行经后外侧做切口术,前外侧组行经前外侧做小切口进行全髋关节置换术。观察两组出血量、住院时间、手术用时、术后并发症情况及2年后患者生活质量评分。结果前外侧组较传统组出血量、手术用时、住院时间少,差异有统计学意义(P<0.05);2年后两组患者的生活质量比较,差异无统计学意义(P>0.05);治疗后两组并发症发生率比较,前外侧组为11.8%(4/34),传统组高达23.5%(8/34),传统组较前外侧组并发症多,差异有统计学意义(P<0.05)。结论采用全髋关节置换术采用经前外侧做切口治疗股骨颈骨折患者,患者术后并发症少,术后生活质量高,手术用时短,术后恢复较快,医生可根据患者相关情况选择手术。
Objective To investigate the application of small incision by anterior lateral approach in total hip arthro plasty（THA）. Methods Sixty-eight inpatients with femoral neck fracture in our hospital during from June 2012 to May 2013 were selected and divided into the traditional group and the anterior lateral group according to the admission time ,34 cases in each group. The traditional group adopted the incision by posterior lateral approach ,while the anterior lateral group adopted small inci-sion by anterior lateral approach for conducting THA. The bleeding amount,hospitalization stay,operation time,postoperative complications and quality of life scores after two years were observed in the two groups. Results The bleeding amount,surgical time and hospitalization in the anterior lateral group were less than those in the traditional group with statistical differences （P〈0.05）;the quality of life after 2 years had no statistical difference between the two groups （P〉0.05）;the incidence rate of postoperative complication was 11.8%（4/34） in the anterior lateral group and up to 23.5%（8/34） in the traditional group,the complications in the traditional group were more than those in the anterior lateral group,the difference was statistically significant（P〈0.05）. Con-clusion Adopting the anterior lateral incision in THA for treating femoral neck fracture has little postoperative complications , high postoperative living quality,short operation time and rapid postoperative recovery. So doctor can select the operation mode according to the patient′s corresponding condition.
出处
《现代医药卫生》
2016年第10期1476-1477,共2页
Journal of Modern Medicine & Health
关键词
股骨颈骨折
外科手术
微创性
关节成形术
置换
髋
髋关节
骨折
Femoral neck fractures
Surgical procedures,minimally invasive
Arthroplasty,replacement,hip
Hip joint
Fractures,bone
