[1]汪翔 杨泽 张洋 沈景 季卫锋△.腹型肥胖对直接前路全髋关节置换术临床疗效的影响[J].中国中医骨伤科杂志,2022,30(08):17-20.
　WANG Xiang YANG Ze ZHANG Yang SHEN Jing JI Weifeng.The Efficacy of Abdominal Obesity on the Clinical Treatment Efficacy of Direct Anterior Approach[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(08):17-20.
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腹型肥胖对直接前路全髋关节置换术临床疗效的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年08期
页码:
17-20
栏目:
临床研究
出版日期:
2022-08-15

文章信息/Info

Title:
The Efficacy of Abdominal Obesity on the Clinical Treatment Efficacy of Direct Anterior Approach
文章编号:
1005-0205(2022)08-0017-04
作者:
汪翔1 杨泽1 张洋2 沈景3 季卫锋3△
1浙江中医药大学第一临床医学院(杭州,310053) 2诸暨市中医医院 3浙江中医药大学附属第一医院
Author(s):
WANG Xiang1 YANG Ze1 ZHANG Yang2 SHEN Jing3 JI Weifeng3△
1The First Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou 310053,China; 2Traditional Chinese Medicine Hospital of Zhuji,Shaoxing 311800,Zhejiang China; 3The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,China.
关键词:
全髋关节置换术;  直接前路;  股骨头坏死;  腹型肥胖;  适应证;  临床结果
Keywords:
arthroplasty;  replacement;  hip;  femur head necrosis;  abdominal obesity;  indications;  direct anterior approach;  clinical treatment efficacy
分类号:
R687.4
文献标志码:
A
摘要:
目的:观察腹型肥胖(AO)患者在DAA支架辅助下行直接前路全髋关节置换手术后的临床效果。方法:纳入行直接前路全髋关节置换手术的64例病例,按腹围分为两组:非腹型肥胖组31例,腹型肥胖组33例。两组体重指数(BMI)差异无统计学意义(P>0.05)。比较术后两组的髋臼假体的前倾角、外展角,假体柄有无内外翻成角、假体周围有无感染、双下肢长度是否有差异、髋关节Harris评分、假体是否有松动。结果:非腹型肥胖组有1例假体周围感染及假体松动患者(3.23%),腹型肥胖组无假体周围感染及假体松动。两组均无假体柄内外翻成角,双下肢长度差异均不超过1.5 cm。非腹型肥胖组的髋臼外展角的平均值为43.00°,腹型肥胖组的髋臼外展角的平均值为42.37°,两组间的差异无统计学意义(P>0.05); 非腹型肥胖组的髋臼前倾角的平均值为23.01°,腹型肥胖组的髋臼前倾角的平均值为21.01°,两组间的差异无统计学意义(P>0.05); 非腹型肥胖组的Harris评分的平均值为98.55,腹型肥胖组的Harris评分的平均值为96.97,两组间的差异无统计学意义(P>0.05)。并发症的总发生率为1.56%。结论:腹型肥胖患者和非腹型肥胖患者在直接前路全髋关节置换的术后临床效果方面无明显差异。直接前路全髋关节置换可应用于腹型肥胖患者,但对于腹型肥胖患者腹型肥胖程度的适用范围还需进行进一步的研究。
Abstract:
Objective:To observe the clinical efficacy of direct anterior approach stent assisted direct anterior approach total hip arthroplasty in patients with abdominal obesity(AO).Methods:81 patients of direct anterior approach total hip arthroplasty using direct anterior approach surgical stents were retrospectively studied.They were divided into two groups according to abdomen circumference:non-AO group included 31 patients,AO group included 33 patients.There was no statistical difference in boby mass index(BMI)between the two groups.The anteversion angle and abduction angle of the acetabular prosthesis,the prosthetic stem varus or valgus angles,infection around the prosthesis,the difference in the length of the two lower limbs exceeds 1.5 cm,hip Harris score and the prosthesis loose condition were compared after operation.Results:Non-AO group had 1 patient with infection around the prosthesis and prosthesis loosening(3.23%),and AO group had no infection around the prosthesis and prosthesis loosening.Two groups had no prosthetic stem varus and valgus angles,and the difference in the length of the lower limbs was no more than 1.5 cm.No superficial wound infection was found.The average acetabular abduction angle of non-AO group was 43.00°,and AO group was 42.37°,the difference between the two groups was not statistically significant(P>0.05); the average value of the acetabular anteversion angle of non-AO group was 23.01°,and AO group was 21.01°,the difference between the two groups was not statistically significant(P>0.05); the average Harris scores of non-AO group were 98.55,AO group were 96.97,the difference between the two groups was not statistically significant(P>0.05).The overall incidence of complications in study was 1.56%.Conclusion:The postoperative clinical efficacy of direct anterior approach total hip arthroplasty with direct anterior approach surgical stent is not significantly different between abdominal obesity and non-abdominal obese patients.Direct anterior approach total hip arthroplasty with direct anterior approach surgical stent is suitable for abdominal obesity patients.However,the scope of application of obesity in abdominal obesity patients needs further research.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金面上项目(81974576)
△通信作者 E-mail:jiweifeng1230@163.com
更新日期/Last Update: 2022-08-15