摘要
目的分析Bikini切口与直接前入路(DAA)切口全髋关节置换术(THA)治疗股骨颈骨折(FNF)的临床效果。方法采用回顾性队列研究方法,收集2019年5月至2021年5月于信阳市中心医院行THA的121例FNF患者的临床资料,将59例行Bikini切口THA治疗的患者资料纳入Bikini组,将62例行DAA切口THA治疗的患者资料纳入DAA组。记录两组手术相关指标,比较两组术前和术后3、6个月的髋关节功能(采用髋关节Harris评分表评估)及术后3、6个月的手术切口美观度[采用温哥华瘢痕量表(VSS)评估]。结果两组手术时间、切口长度、术中出血量及术后双下肢长度差异值比较,差异无统计学意义(P>0.05);与术前对比,两组术后3、6个月的髋关节Harris评分呈上升趋势,差异有统计学意义(P<0.05);两组同时点的Harris评分对比,差异有统计学意义(P<0.05);两组术后3个月的手术切口VSS评分比较,差异无统计学意义(P>0.05);两组术后6个月的手术切口VSS评分均低于术后3个月时,且Bikini组术后6个月的手术切口VSS评分低于DAA组,差异有统计学意义(P<0.05)。结论Bikini切口及DAA切口THA治疗FNF的效果相当,均可有效改善患者髋关节功能,且与DAA切口对比,Bikini切口更加美观。
Objective To analyze the clinical effect of total hip replacement(THA)with Bikini incision and direct anterior approach(DAA)incision in the therapy of femoral neck fracture(FNF).Methods A retrospective cohort study was used to make a collection of clinical data of 121 patients with FNF who underwent THA in Xinyang Central Hospital from May 2019 to May 2021.The data of 59 patients treated with THA through Bikini incision were included in Bikini group,and the data of 62 patients treated with THA through DAA incision were divided into DAA group.The relevant indexes of two groups were recorded,and the hip function(assessed by Harris score of hip joint)and the beauty of surgical incision[assessed by Vancouver scar scale(VSS)]of two groups before and 3 and 6 months after operation were compared.Results There were no differences between two groups in operation time,incision length,intraoperative bleeding and postoperative length of both lower limbs(P>0.05).The Harris score of hip joint in the two groups showed an upward trend at 3 and 6 months after operation compared with that before operation,and there was a statistical significant difference(P<0.05).There was statistical significant difference in Harris score between two groups at the same time point(P<0.05).There was no statistical significant difference between two groups in the surgical incision VSS score 3 months after operation(P>0.05).The VSS score of surgical incision at 6 months after operation in both groups was lower than that at 3 months after operation,and the VSS score of surgical incision at 6 months after operation in Bikini group was lower than that in DAA group,and there was a statistical significant difference(P<0.05).Conclusion The effect of THA with Bikini incision and DAA incision in the treatment of FNF is equivalent,which can effectively improve the hip function of patients,and compared with DAA incision,Bikini incision is more beautiful.
作者
潘林
PAN Lin(Department of Orthopedics,Xinyang Central Hospital,Xinyang 464000,China)
出处
《河南医学研究》
CAS
2023年第6期1057-1060,共4页
Henan Medical Research
