本文關(guān)鍵詞： 直接前方入路 全髖置換術(shù) 疼痛 髖關(guān)節(jié)功能　出處：《中國現(xiàn)代醫(yī)學(xué)雜志》2017年19期 　論文類型：期刊論文

【摘要】：目的研究直接前方入路(DAA)在全髖置換術(shù)(THA)中的應(yīng)用療效及經(jīng)驗(yàn)總結(jié)。方法共納入156例首次THA患者,其中82例采用后外側(cè)入路(PLA),74例采用DAA,對比臨床療效。結(jié)果兩組的手術(shù)時間比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05),DAA組的術(shù)中出血、術(shù)后引流時間和引流量減小,與PLA組比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組圍術(shù)期并發(fā)癥發(fā)生率比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。DAA組術(shù)后1、3和7 d疼痛評分低于PLA組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。DAA組的部分下地負(fù)重、完全負(fù)重時間和總住院時間較PLA組縮短,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。DAA組術(shù)后1、3和6個月Harris髖關(guān)節(jié)功能評分高于PLA組,術(shù)后6個月DAA組髖關(guān)節(jié)功能優(yōu)于PLA組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 THA采用DAA手術(shù)創(chuàng)傷更小,疼痛減輕,早期功能鍛煉時間縮短,髖關(guān)節(jié)功能改善更佳,有較好的應(yīng)用安全性和有效性。
[Abstract]:Objective to study the efficacy and experience of direct anterior approach in total hip replacement (tha). Methods 156 patients with first THA were included. Among them, 82 cases were treated with posterior lateral approach and 74 cases were treated with DAA.The results showed that there was no significant difference in the operation time between the two groups (P 0.05). The intraoperative bleeding, postoperative drainage time and drainage volume decreased in DAA group, and the difference was statistically significant compared with that in PLA group (P 0.05). The incidence of perioperative complications in the two groups was higher than that in the control group (P < 0.05). There was no significant difference in pain scores between P0.05U 路DAA group and PLA group on the 3rd and 7th day after operation, and there was significant difference between the two groups. The time of complete weight loading and total hospitalization time were shorter than that of PLA group, and the difference was statistically significant. The score of hip function of Harris group was higher than that of PLA group at 1: 3 and 6 months after operation. The function of hip joint in DAA group was better than that in PLA group 6 months after operation, the difference was statistically significant (P 0.05). Conclusion the operation of DAA in THA is less traumatic and the pain is alleviated. Early functional exercise time is shortened, hip joint function is improved better, has good application safety and effectiveness.
【作者單位】： 安徽醫(yī)科大學(xué)附屬省立醫(yī)院骨二科;
【分類號】：R687.4
【正文快照】： 全髖置換術(shù)(total hip arthroplas,THA)是治療股骨頭壞死、骨關(guān)節(jié)炎和股骨近端不穩(wěn)定性骨折的重要手術(shù)方法[1],常用手術(shù)入路有外側(cè)和后側(cè),而直接前方入路(direct anterior approach,DAA)是真正意義上的微創(chuàng),恢復(fù)快、疼痛輕[2]。不切斷髖部任何肌肉即可顯露髖關(guān)節(jié),術(shù)后短期臨床

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