Clinical Analysis of Minimal Incision for Total Hip Arthroplasty_West China Medical Journal

Authors：

ZHAO Qiang , CHEN Xingai , HU Dingxiang , et al.

Orthopedics Department, the Second People’s Hospital of Dazhou City, Dazhou Sichuan 635000, China;

Corresponding?author：

Keywords：

全髖關節置換; 小切口; 治療結果; 微創

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摘要:目的:探討小切口全髖關節置換的療效及優缺點。方法:針對性選取我院行THA的病員48例,分為初期小切口THA組、熟練小切口THA組、傳統切口THA組,各組16例。記錄切口長度、術中出血量、術后12小時引流量、手術時間及Harris評分,對其治療效果進行回顧性分析。結果:初期小切口THA組平均出血量,術后12小時平均引流量,平均手術時間等指標均高于傳統組,術后Harris評分低于傳統組,熟練組與傳統組比較,切口長度較短、術中出血量略少,術后早期Harris評分高,遠期Harris評分接近。結論:熟練小切口THA與傳統切口THA比較遠期療效無明顯優點,初期小切口THA不具微創優勢,不必強求小切口THA,并應注重學習曲線。

Citation： ZHAO Qiang,CHEN Xingai,HU Dingxiang,et al.. Clinical Analysis of Minimal Incision for Total Hip Arthroplasty. West China Medical Journal, 2009, 24(7): 1684-1686. doi: Copy

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10.	張海波,王義生,賈思明,等.一期全髖關節置換術治療雙側股骨頭缺血性壞死[J].中國骨與關節損傷雜志, 2003,20(10):649.

1. HOWELL J R, GERBUZ D S, DUNCAN C P. Minimally invasive hip replacement:rationale, applied anatomy and ynstrumentation[J]. Orthop clin North Am, 2004,35:107.
2. BARRACK RL.The mini_incision:Occasionally desirable, but rarely necessary[J]. Orthoredics,2004,27:936.
3. 張先龍,王琦,蔣垚,等.前路小切口人工全髖關節置換術療效分析[J].中華外科雜志,2006,44:512-515.
4. MALIK A,DORR LD. The science of minirnally invasive tolal hip arthroplasty[J].Clin orthop Relat Res,2007,(463):74-84.
5. SCULCO TP, JORCLAN Lc. The Miniincision approach to tolal nip arthrop[J]. Lasty Instr course Lect,2004,53:141-147.
6. WOOLSON ST, MOW CS, SYQUIA JF, et al.Comparsion a standard incision or a minincison[J]. J Bone Joint Surg(Am),2004,86:1353.
7. BERRY DJ, BERGER RA, CALLAGHAN JJ, et al. Symposium:Minimally ynvasi ve tolal hip arth roplasty.De relopment, early results and a critical analysis[J]. J Bone Joint Surg(Am),2003,85:2235.
8. 鄭得志,于建華,等.小切口與標準切口全髖關節置換術早期療效的比較[J].中國骨與關節損傷雜志,2008,23:529-532.
9. 楊柳,李起鴻.小切口關節置換術與微創關節外科[J].中國矯形外科雜志,2005,405-406.
10. 張海波,王義生,賈思明,等.一期全髖關節置換術治療雙側股骨頭缺血性壞死[J].中國骨與關節損傷雜志, 2003,20(10):649.

West China Medical Journal

Clinical Analysis of Minimal Incision for Total Hip Arthroplasty

Abstract Full text Figures/Tables Video References Cited by

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