摘要
目的 分析平卧位不折床直接前侧入路全髋关节置换术的近期临床疗效.方法 选取2022年3月—2023年3月本院骨科收治的126例行全髋关节置换术治疗的患者为研究对象,利用掷硬币法分为两组,每组各63例.对照组采取后外侧入路全髋关节置换术治疗,观察组采取平卧位不折床直接前侧入路全髋关节置换术治疗.比较两组患者的围手术期相关指标(手术时间、术中出血量、切口长度、术后引流量、离床活动时间、住院时间)、髋关节活动度(外旋、内旋、外展、内收、后伸、屈曲)、并发症(下肢深静脉血栓形成、压力性损伤、术中低体温)总发生率差异.结果 观察组的术中出血量、术后引流量低于对照组(P<0.05)、切口长度短于对照组(P<0.05),离床活动时间、住院时间短于对照组(P<0.05);术前两组的髋关节活动度相近(P>0.05),术后均高于各组术前且观察组高于对照组(P<0.05);观察组的并发症总发生率低于对照组(P<0.05).结论 平卧位不折床直接前侧入路全髋关节置换术的近期临床疗效更佳,可作为优选治疗方案推广使用.
Abstract
Objective To analyze the recent clinical effect of total hip arthroplasty by direct anterior approach without folding bed in recumbent position.Methods 126 patients undergoing total hip arthroplasty in our Department of Orthopedics from March 2022 to March 2023 were selected and divided into two groups with 63 cases in each group by coin toss method.The control group was treated with posterolateral approach and the observation group was treated with direct anterior approach without folding bed in supine position.The total incidence of perioperative parameters(operation time,intraoperative blood loss,incision length,postoperative drainage flow,out-of-bed activity time,length of hospital stay),hip mobility(external rotation,internal rotation,abduction,adduction,extension,flexion),complications(deep venous thrombosis of lower extremities,pressure injury,intraoperative hypothermia)were compared between the two groups.Results The intraoperative blood loss and postoperative drainage volume in the observation group were lower than those in the control group(P<0.05),the incision length was shorter than those in the control group(P<0.05),the out-of-bed activity time and hospitalization time were shorter than those in the control group(P<0.05),the postoperative hip mobility was higher than that in the control group(P<0.05),and the total complication rate was lower than that in the control group(P<0.05).Conclusion The immediate clinical effect of total hip arthroplasty with direct anterior approach without folding bed is better,and it can be widely used as a preferred treatment.
维普
万方数据