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|本期目录/Table of Contents|

SuperPath与Moore入路全髋关节置换术治疗老年股骨颈骨折早期疗效比较

《创伤外科杂志》[ISSN:/CN:]

期数:
2018年10期
页码:
730-734
栏目:
四肢损伤论著
出版日期:
2018-10-15

文章信息/Info

Title:
Early effectiveness compiarison of total hip arthroplasty by SuperPath approach and by Moore approach for elderly femoral neck fracture
文章编号:
1009-4237(2018)10-0730-05
作者:
韩晓飞孙振中顾三军宋 升殷渠东刘学光李海峰
214062 江苏,无锡市第九人民医院(无锡市骨科医院)
Author(s):
HAN Xiao-feiSUN Zhen-zhongGU San-junSONG ShengYIN Qu-dongLIU Xue-guangLI Hai-feng
The Ninth People's Hospital of Wuxi,Wuxi,Jiangsu 214062,China
关键词:
股骨颈骨折 关节置换 入路 老年
分类号:
R 683.42
DOI:
10.3969/j.issn.1009-4237.2018.10.003
文献标识码:
A
摘要:
目的 比较SuperPath与Moore入路全髋关节置换术治疗老年股骨颈骨折的早期临床疗效。方法 回顾性分析2016年8月—2017年2月无锡市第九人民医院(无锡市骨科医院)收治的48例老年股骨颈骨折患者行全髋关节置换术治疗情况,其中男性23例,女性25例; 年龄65~75岁,平均70.2岁; 按手术入路分为SuperPath组22例和Moore组26例。记录两组患者手术切口长度、手术时间、住院天数及并发症发生情况,测量髋关节假体髋臼外展角、前倾角,并评价是否存在假体松动等迹象。采用Harris评分评价髋关节功能。结果 两组患者手术时间、术中出血量差异无统计学意义,但SuperPath组患者手术切口长度和住院天数明显低于Moore组[(7.09±0.61)cm vs.(7.58±0.64)cm、(7.77±1.23)d vs.(8.96±1.18)d],差异有统计学意义(P<0.05)。术后第1天、1周、1个月、6个月SuperPath组VAS评分均低于Moore组,分别为[(5.82±1.29)分 vs.(6.85±1.41)分、(3.73±0.98)分 vs.(4.77±1.27)分、(2.09±0.87)分 vs.(2.27±0.78)分、(1.36±0.49)分 vs.(1.58±0.64)分],术后第1天和第1周时比较差异有统计学意义(P<0.05),1个月和6个月比较差异无统计学意义(P>0.05)。Moore组患者术后第3天、1个月、6个月Harris评分均显著优于术前,差异有统计学意义(P<0.05); SuperPath组术后第3天及1个月Harris评分指标均显著高于Moore组[(69.18±1.15)分 vs.(62.58±6.68)分、(80.91±6.45)分 vs.(76.92±2.54)分],差异有统计学意义(P<0.05)。结论 Superpath与Moore入路均安全有效,前者创伤更小,早期可有效缓解疼痛,有利于患者术后康复,长期疗效还有待进一步随访。

参考文献/References

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备注/Memo

备注/Memo:
-
更新日期/Last Update: 2018-10-20