前外侧小切口人工全髋关节置换术治疗成人髋臼发育不良的临床研究

The clinical effect of anteroir nterior approach in total hip arthroplasty on the treatment of developmental dyspiasia of the hips

目的探讨前外侧小切口(OCM)治疗成人髋臼发育不良的临床效果。方法回顾分析2009-06~2014-06在广西壮族自治区人民医院骨科采用前外侧小切口手术入路,进行了单侧全髋关节置换治疗的22例髋臼发育不良伴骨性关节炎成人患者的资料。对术口长度、术中出血量、手术时间、术后的引流量、手术前后血红蛋白值,以及术前、术后、术后6个月,末次髋关节Harris评分及术后X线片影像等进行统计分析及评估。结果术口长度为(7.5±1.0)cm、术中出血量为(260±92.8)ml、手术时间为(70.5±15.6)min、术后的引流量为(195±45)ml、手术前血红蛋白量为(121±16.8)g/L、手术后血红蛋白量为(95±12.6)g/L,术后髋关节功能Harris评分为良好。结论前外侧入路小切口人工全髋关节置换术治疗成人髋臼发育不良近期效果好,患者恢复快。

Objective To investigate the clinical effect of anterior nterior approach（OCM） in total hip arthroplasty on the treatment of developmental dyspiasia of the hips.Methods From June 2009 to June 2014 y,22 cases of developmental dyspiasia of the hip with osteoarthritis were treated with the total hip arthroplasty.Anterior nterior approach was performed on 22 cases.All the patients received unilateral total hip replacement,including 5 males and 17 females.The bleeding volume,operation time,postoperative drainage volume,the operation incision lengths and the amount of hemoglobin were recorded before and after the operation.The harris scores of preoperation,6months after the operation and the last time of hip joint function after the operation were recorded.Results The average operation incision length was（7.5 ± 1.0） cm.The bleeding volume was（260 ± 92.8） ml.The operation time was（70.5 ± 15.6） min.The postoperative drainage volume was（195 ± 45） ml.The amount of hemoglobin before the operation was（121 ± 16.8） g/L.The amount of hemoglobin after the operation was（95 ± 12.6） g/L.The harris scores indicated that the hip joint functions were favorable.Conclusion OCM approach has a fine early-stage effect on the treament of developmental dyspiasia of the hips.