侧卧位改良外前侧入路人工髋关节置换术的临床分析

Clinical analysis of artificial hip replacement by modified lateral approach

目的 探讨侧卧位改良外前侧入路人工髋关节置换的临床治疗效果.方法 选择2014年1月至2017年1月来我院就诊的行侧卧位外前侧入路人工髋关节置换手术的300例患者作为研究对象,并且按照随机数字表的方法将上述患者分为观察组和对照组,每组150例.其中,对照组使用传统置换方法,观察组使用改良置换方法,比较两组患者的临床治疗效果.结果 相较于对照组,观察组患者的切口更小,出血量明显更少,住院时间明显更短,组间差异显著（P〈0.05）,观察组患者的优良率明显更高,Harris评分明显更优,组间差异显著（P〈0.05）.结论 侧卧位改良外前侧入路人工髋关节置换具有良好的临床治疗效果,切口小,出血量少,可促进患者早日康复,值得推广和应用.

Objective To investigate the clinical effect of modified lateral approach artificial hip replacement. Methods From January 2014 to January 2017, 300 cases of patients underwent lateral approach artificial hip replacement in our hos- pital were selected as research objects, and in accordance with the random number table method, the patients were divided into observation group and control group, each group of 150 cases. The control group was treated with the traditional method of replacement, the observation group was treated with modified replacement method. The clinical effects of the two groups of patients after surgery were compared. Results The size of incision, blood loss, hospital stay, excellent and good rate of clini- cal effect, Harris scores of observation group were significantly better than those of the control group （P〈0.05）. Conclusion Compared with traditional artificial hip replacement, modified lateral approach artificial hip replacement has remarkable clinical effect with less blood less and small incision, and be benefit to the recovery of diseases, which is worthy of promo- tion and application.