[1]崔晓光,常甲楠.经梨状肌入路与髋关节后侧入路行全髋关节置换术的疗效比较[J].中国中医骨伤科杂志,2024,32(01):80-84.[doi:10.20085/j.cnki.issn1005-0205.240115]
　CUI Xiaoguang,CHANG Jianan.Comparison of the Efficacy of Total Hip Arthroplasty via SuperPATH and Moore Approach[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(01):80-84.[doi:10.20085/j.cnki.issn1005-0205.240115]
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经梨状肌入路与髋关节后侧入路行全髋关节置换术的疗效比较()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年01期
页码:
80-84
栏目:
临床报道
出版日期:
2024-01-15

文章信息/Info

Title:
Comparison of the Efficacy of Total Hip Arthroplasty via SuperPATH and Moore Approach
文章编号:
1005-0205(2024)01-0080-05
作者:
崔晓光1; 常甲楠2
1侯马市人民医院骨科(山西 临汾,043000) 2武警山西总队医院
Author(s):
CUI Xiaoguang1; CHANG Jianan2
1Department of Orthopedics,Houma People's Hospital,Linfen 043000,Shanxi China; 2Shanxi Army Hospital of Armed Police,Taiyuan 030006,China.
关键词:
经梨状肌入路;  髋关节后侧入路;  人工髋关节置换术;  股骨颈骨折
Keywords:
SuperPATH approach;  Moore approach;  total hip arthroplasty;  fracture of the femur neck
分类号:
R687.4
DOI:
10.20085/j.cnki.issn1005-0205.240115
文献标志码:
B
摘要:
目的:探讨经梨状肌(SuperPATH)入路与髋关节后侧(Moore)入路全髋关节置换术(THA)治疗股骨颈骨折的疗效。方法:回顾性分析2018年2月至2021年2月行全髋关节置换术的96例股骨颈骨折患者,按手术方式将其分为观察组和对照组,每组各48例; 对照组采用髋关节后侧入路,观察组采用经梨状肌入路。比较两组患者临床指标、术后3个月髋关节功能、手术前后炎性反应指标水平、生活质量评分及并发症发生情况。结果:观察组手术切口长度明显低于对照组,差异有统计学意义(P<0.05); 两组术中出血量、前倾角、外展角比较,差异无统计学意义(P>0.05); 术后3个月,观察组髋关节功能优良率明显高于对照组,差异有统计学意义(P<0.05); 术后1 d,两组C-反应蛋白(CRP)、红细胞沉降率(ESR)水平明显高于术前,差异有统计学意义(P<0.05); 且观察组明显低于对照组,差异有统计学意义(P<0.05); 术后1个月,两组C-反应蛋白、红细胞沉降率水平比较,差异无统计学意义(P>0.05); 术后3个月,两组生活质量评分明显高于术前,差异有统计学意义(P<0.05),且观察组明显高于对照组,差异有统计学意义(P<0.05); 两组并发症发生情况比较,差异无统计学意义(P>0.05)。结论:相比于髋关节后侧入路,经梨状肌入路对行全髋关节置换术的股骨颈骨折患者的临床疗效较好,有助于恢复患者髋关节功能,降低炎性反应水平,提高患者生活质量,安全可靠。
Abstract:
Objective:To explore the efficacy of SuperPATH and Moore approach total hip replacement(THA)in the treatment of femoral neck fractures.Methods:Retrospective analysis was performed on 96 patients with femoral neck fracture who underwent THA from February 2018 to February 2021.They were divided into observation group and control group according to surgical methods,with 48 cases in each group,the control group using Moore approach,and the observation group using SuperPATH approach.The clinical indicators,hip function,level of inflammatory response index,quality of life score and complications before and after surgery were compared between the two groups.Results:The incision length in the observation group was significantly lower than that in the control group(P<0.05),and there was no significant difference in the amount of intraoperative blood loss,inclination angle and abduction angle between the two groups(P>0.05).The hip joint function of the observation group was significantly higher than that of the control group at 3 months after surgery(P<0.05).The C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)levels of the two groups were significantly higher than those befefore surgery(P<0.05),and the observation group were significantly lower than those of the control group(P<0.05),and the difference between the CRP and ESR levels of the two groups was not statistically significant 1 months after surgery(P<0.05).At 3 months after surgery,the quality of life scores of the two groups were significantly higher than those before surgery(P<0.05),and those of the observation group were significantly higher than those of the control group(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Compared with the Moore approach,the SuperPATH approach has a better clinical effect on patients with femoral neck fractures who undergo THA,which helps to restore hip function,reduce the level of inflammatory response,improve patient quality of life,and be safe and reliable.

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备注/Memo

备注/Memo:
基金项目:山西省卫生健康委科研课题(2019164)
更新日期/Last Update: 2024-01-15