小切口全髋关节置换术患者的临床效果及安全性分析

Clinical Efficacy and Safety of Total Hip Prosthesis with Small Incision

目的探讨小切口全髋关节置换术患者的临床效果及安全性。方法选择我院收治的90例行全髋关节置换术的患者随机均分为两组各45例,对照组患者采用传统的手术切口操作,观察组采用小切口全髋关节置换术,比较两组的手术情况、Harris评分、VAS评分、手术疗效、术后疼痛程度和并发症。结果术后观察组的切口长度明显小于对照组,手术时间明显短于对照组,术中出血量、平均输血量及术后引流量明显少于对照组(P<0.01);两组术后髋臼前倾角及外展角比较差异不明显(P>0.05)。术后1个月、3个月及6个月观察组的Harris评分明显高于对照组,VAS评分明显低于对照组(P<0.01)。观察组并发症发生率明显低于对照组(P<0.05)。结论小切口全髋关节置换术临床应用价值较高,可显著改善手术的效果,减少并发症的发生。

Objective To explore the clinical efficacy and safety of total hip prosthesis with small incision. Methods Ninety patients with total hip prosthesis were randomly divided into the control group（traditional surgical incision） and the observation group（small surgical incision）, with 45 cases in each group. The surgical situation, Harris score, VAS score, surgical effect, postoperative pain degree and complications were compared between two groups. Results The observation group was superior to the control group in incision length,operating time, intraoperative blood loss, average blood transfusion amount and postoperative drainage amount（all P〈0.01）. There were no statistically significant differences in acetabular anteversion angle and abduction angle between two groups（P〈0.05）. At 1 month, 3 months and 6 months after surgery, the Harris scores of observation group were higher than that of control group（P〉0.01）, while the VAS scores were lower than that of control group（P〈0.01）. The incidence of complications of observation group was significantly lower than that of control group（P〈0.05）. Conclusions Total hip prosthesis with small incision has high clinical value, which can significantly improve surgical effect, and reduce the incidence of complications.