小切口及标准切口全髋关节置换术早期疗效比较.docVIP

小切口及标准切口全髋关节置换术早期疗效比较作者单位：516400 广东省海丰县彭湃纪念医院 通讯作者：吕厚忠 【摘要】 目的 比较小切口全关节置换术与标准切口全关节置换术的临床疗效。方法 将2007年1月～2010年12月本院收治的需行髋关节置换术的患者85例随机分为微创组和标准组，微创组39例，行小切口全髋关节置换术，切口长度≤10 cm；标准组46例，行标准切口全关节置换术，切口长度＞10 cm。记录两组患者术中失血量、平均手术时间，术后第2天平均红细胞压积、C反应蛋白及患侧大腿中部周径增加值和术后4周Harris评分。结果 （1）微创组术中平均失血量小于标准组，平均手术时间短于标准组（P0.05），患侧大腿中部周径增加值显著低于标准组（P0.05）。结论 应用小切口全关节置换术术中出血量小，对患者创伤较小，治疗效果与传统标准切口手术无明显差异。 【关键词】 髋关节置换术； 小切口； 标准切口 A comparative study of early postoperative effect of primary total hip arthroplasty with mini- incision or a standard incision LV Hou-zhong.Guangdong Province Pengpai Memorial Hospital，Haifeng 516400，China 【Abstract】 Objective To compare the clinical efficacy mini- incision joint replacement with the standard incision joint replacement surgery.Methods 85 patients with hip arthroplasty were randomly divided into mini- incision group and the standard group, 39 cases of minimally invasive, small incision total hip arthroplasty, incision length ≤ 10cm; standard group of 46 patients, and standard incision total joint replacement surgery, the incision length 10 cm. Patients in the two groups of blood loss, mean operation time, after 2-day average hematocrit, C-reactive protein and the lateral mid-thigh circumference increased value and Harris score after 4 weeks.Results ① minimally invasive group, the mean blood loss was smaller than the standard group, the mean operative time was shorter than the standard group （P0.05）, ipsilateral mid-thigh circumference increased significantly lower than the standard group （P0.05）.Conclusion Small incision total joint replacement surgery a small amount of blood loss, less trauma to patients, treatment with the traditional no significant difference between the standard incision. 【Key words】 Hip arthroplasty; Mini- incision; Standard incision 人工髋关节置换术是临床上用于治疗髋关节病变的主要方法，通过手术治疗术后配合适当的功能锻炼，能有效的解除患者髋部的疼痛，恢复患者的髋关节功能。随着该技术在临床上的广泛应用，如何在保证患者术后远期疗效的前提下减轻手术对患者的创伤，减轻患者手术的痛苦成为临床追求的目标之一。近年来，本院应用微创技术进行髋关节置换术取得了良好的临床效果，为比较小切口全关节置换术与标