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中国人民解放军总医院
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中国人民解放军总医院老年心血管病研究所
中国科技出版传媒股份有限公司
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中华老年多器官疾病杂志编辑委员会
100853, 北京市复兴路28号
电话:010-66936756
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E-mail: zhlndqg@mode301.cn
创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
友情链接
吴国华,狄勇,马英华,赵继磊,梁永辉.SuperPATH入路半髋关节置换术治疗老年股骨颈骨折临床短期疗效[J].中华老年多器官疾病杂志,2018,17(7):529~532
SuperPATH入路半髋关节置换术治疗老年股骨颈骨折临床短期疗效
Short-term efficacy of SuperPATH approach for hip arthroplasty in the elderly with femoral neck fracture
投稿时间:2018-02-05  修订日期:2018-04-10
DOI:10.11915/j.issn.1671-5403.2018.07.119
中文关键词:  老年人;外科手术,微创性;股骨头;SuperPATH入路
英文关键词:aged; surgical procedures, minimally invasive; femur head; SuperPATH approach
基金项目:
作者单位E-mail
吴国华 爱德堡医院骨科,廊坊 065000  
狄勇 爱德堡医院骨科,廊坊 065000  
马英华 爱德堡医院骨科,廊坊 065000  
赵继磊 爱德堡医院骨科,廊坊 065000  
梁永辉 解放军总医院骨科,北京 100853 52233175@qq.com 
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中文摘要:
      目的 探讨SuperPATH入路髋关节置换术在老年股骨颈骨折患者中的应用及疗效。方法 入选2015年9月至2017年3月期间爱得堡医院骨科收治的老年单侧股骨颈骨折患者39 例,根据手术方法分为2组:SuperPATH入路组(n=14)和后外侧入路组(n=25)。对比2组患者的手术时间、术中出血量、术后引流量、术后24 h内疼痛视觉模拟量表(VAS)评分等围术期参数。随访3个月,对比2组患者的术后独立行走时间、并发症发生情况及Harris髋关节量表(HHS)评分。采用SPSS 17.0 软件进行数据处理,依据数据类型,组间比较分别采用t检验或χ2检验。结果 与后外侧入路组患者相比,SuperPATH入路组患者的术中失血量[(101.4±16.7) vs (135.3±21.6)ml]和术后引流量[(70.4±10.2) vs (85.9±16.4)ml]更少、切口长度更小[(6.8±0.7) vs (10.1±0.9)cm]、VAS评分更低[(3.5±1.0) vs (6.8±1.7)分],差异均具有统计学意义(P<0.05)。截止末次随访时,2组患者均无脱位、感染和松动发生。与后外侧入路组患者相比,SuperPATH入路组患者的术后独立行走时间显著缩短[(2.8±1.2) vs(9.2±2.2)d,P<0.05]。结论 SuperPATH入路是一种可以达到快速康复目的的髋关节置换的微创入路方式,对老年患者这一特殊人群尤为适合。
英文摘要:
      Objective To investigate the application and efficacy of SuperPATH approach for hip arthroplasty in the elderly patients with femoral neck fracture. Methods A total of 39 elderly patients with unilateral femoral neck fracture admitted to the Orthopedic Department of Aidebao Hospital from September 2015 to March 2017 were enrolled in this study. They were divided into SuperPATH approach group (n=14) and posterolateral approach group (n=25) according to the approach they received. The operation time, intraoperative bleeding volume, postoperative drainage volume, and visual analogue scale (VAS) score within 24 h after operation were compared between the 2 groups. After 3 months′ follow-up, the independent walking time, complications and Harris hip joint score were compared between them. SPSS statistics 17.0 was used to perform the statistical analysis. Student′s t test or Chi-square test was employed for intergroup comparison based on different data types. Results Compared with the posterolateral approach group, the patients with SuperPATH approach had less amounts of intraoperative blood loss [(101.4±16.7) vs (135.3±21.6)ml] and post-operative drainage [(70.4±10.2) vs (85.9±16.4)ml], shorter incision length [(6.8±0.7) vs (10.1±0.9)cm] and lower VAS score [(3.5±1.0) vs (6.8±1.7)scores, P<0.05]. At the end of the last follow-up, no dislocation, infection or loosening occurred in both groups. The independent walking time was significantly shorter in the SuperPATH group than in the posterolateral approach group in 3 months after operation [(2.8±1.2) vs (9.2±2.2)d, P<0.05]. Conclusion SuperPATH approach is a minimally invasive approach for hip replacement with the advantage of rapid recovery, especially suitable for the elderly patients.
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