小切口全髋关节置换术临床应用研究.docVIP

小切口全髋关节置换术临床应用研究 　　[摘 要] 目的 探讨应用改良后外侧小切口下全髋关节置换术的方法和手术效果。方法 2003年3月～2007年3月采用改良后外侧小切口入路, 行全髋关节置换28例32髋。其中男13例15 髋, 女15 例17髋。手术切口全长约7～12cm, 根据需要适当延长切口, 扩大应用范围。结果 手术均在术前设计切口下顺利进行,术中无需对周围组织过分牵拉;所有患者获得随访11月至3年, 平均1.5年, 临床效果满意,无术后并发症。结论 在术前准备充分、解剖入路熟悉的前提下,改良后外侧小切口全髋关节置换术具有创伤小、组织损伤小、术后功能恢复快的优点,减少了并发症的发生。 　　关键词：髋关节微创外科 小切口 全髋关节置换 　　 　　Clinical application of a modified small posterolateral approach in mini - incision total hipreplacement 　　CHEN Dongfang1 ,,AN Guifeng2 　　(Orthopaedic Department, the people’s hospital of Xinmin city,liaoning province, Xinmin,liaoning ,110300 1 , Orthopaedic Department,the first affiliated hospital of China Medical University ,Shenyang, 1100012) 　　[Abstract] Objective To introduce our experience of clinical application of a modified small posterolateral approach in mini- incision total hip replacement.Methods From Mar, 2003 to Mar, 2007, 28 patients (32 hips) were subjected to total hip replacement via small posterolateral approach in mini -incision (MIS THA). The length of incision was range from 7 to 12cm.Result Operations were performed successfully using mini - incision and needn’ t drag soft tissue strongly.The 28 patients were followed-up for 11 months to 3 years. Neither systemic nor local complications had occurred with in averaged 1 years and 5 months of follow-up. Therapeutic result was satisfaction. these cases , did not develop complication.Conclusion With sufficient preopertive preparation and grasping the approaches accurately ,MIS THA could be indicated in selected patients with hip disorders. The advantages of MIS THA are mini- tissue damage, milder operation time, less the patient’s sense of trepidation to the operation. 　　[Key words] Hip joint Mini- invation surgery； Mini- incision ; Total hip arthroplasty 　　中图分类号：R681.6 文献标识码：A 文章编号：1005-0019（2008）3-0028-02 　　 　　人工全髋关节置换( total hip arthroplasty, THA) 已经成为一种成熟的外科技术, 是治疗髋关节疾病有效的治疗手段。进入21世纪后, 随着微创技术的引进和手术技术的提高, 小切口人工全髋关节置换术开始在临床初步应用[1～2]。笔者采用髋关节改良的后外侧小切口全髋关节置换有软组织损