后外侧入路小切口微创人工全髋关节置换术初步报告

《后外侧入路小切口微创人工全髋关节置换术初步报告》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、后外侧入路小切口微创人工全髋关节置换术初步报告作者：黄相杰高广凌谭远超周志高刘德忠焦明航【关键词】髋关节摘要：［目的］探讨后外侧入路小切口微创(minimallyinvasivesurgery，MIS)人工全髋关节置换的手术方法和初期临床治疗效果。［方法］采用后外侧入路MIS技术为68例72髋实施人工全髋关节置换术。股骨头坏死34例，其中双侧3例；股骨颈骨折25例；髋关节骨性关节炎9例，其中双侧1例。［结果］手术切口长75~11cm，平均92cm；术中出血量200~480ml，平均280ml；术后3个月时Harris评分平均为93分。在以往采用传统后外侧入路行人工全髋关节置换的病例

2、中，选择病种、性别、年龄、术前Harris评分相近的患者68例72髋做为对照组，对两组进行对比：切口MIS组明显短于传统组；术中出血量少于传统组；3个月时的Harris评分高于传统组(P＜0001)。［结论］采用MIS人工全髋关节置换技术，手术切口短，创伤小，出血少，术后功能恢复快，较传统的全髋置换术有明显的优势，但应有严格的手术指征和熟练的操作技术。关键词：微创外科；髋关节；关节置换；小切口PreliminaryreportofminimallyinvasivesurgeryfortotalhiparthroplastyAbstract：［Objective］Toreportth

3、esurgicaltechniqueandpreliminarytherapeuticresultofminimallyinvasivesurgery(MIS）fortotalhiparthroplasty(THA）throughaposterolateralapproach［Method］SeventytwocasesofpatientsoftotalhiparthroplastywereperformedthroughposterolateralminiincisionTherewerecasesoffemoralheadnecroses,2casesoffemoralneck

4、fracturesandcasesofosteoarthritis［Result］Theaveragelengthoftheincisionwas2cm(ranged,75~11cm);Theaverageintraoperativebloodlosswas80ml(ranged,200~480ml)Accordingtothemonthpostoperativefollowup,allcaseshadanaverageHarrisHipScoreof3Theresultwascomparedwithanothercaseswiththesimilargender,similara

5、verageage,andsimilarpreoperativeHarrisHipScorewhichacceptedtraditionaltreatingmethodThepatientsinMISgrouphadshorterskinincision,lessbloodlossandsignificantimprovementofHarrisHipScoreafterthemonthfollowup(P＜0001)［Conclusion］MISforTHAtreatmentthroughposterolateralapproachhastheadvantagesofshorte

6、rskinincision,lesstissuedamage,lessbloodlossandquickerpostoperativerecoveryItbringsobviousbetterresultcomparedwithcasesusingconventionalincision,butithastofollowstrictindicationsandhighdemandingforoperativetechniqueKeywords：Minimallyinvasivesurgery(MIS);Hipjoint;Arthroplasty;Miniincision人工全髋关节

7、置换(totalhiparthroplasty,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。随着临床应用越来越广泛。对其要求也在不断增加。除要提高植入物的使用寿命外，还要求减少手术的创伤性，缩短康复时间。本世纪初，许多学者开始将微创技术应用于THA手术。目前，小切口微创THA(miniincisionsurgeryorminiinvasivesurgeryTHA，MISTHA)分为后路单切口、前路单切口和双切口3种手术方式〔1~3〕。本文报告了