两种入路方式全髋关节置换术的疗效观察

Therapeutic Effect of Total Hip Arthroplasty with Two Approaches

目的探究THA中DAA和PA的临床疗效及对髋关节功能的影响。方法选择2017年1月～2018年1月收治的102例行THA者作研究对象,随机分成研究组和对照组,各51例。对照组患者行PA治疗,研究组患者行DAA治疗,比较两组患者术中出血量、下床时间、住院时间、髋臼前倾角、并发症及髋关节评分等情况。结果研究组术中出平均血量(124.13±29.47)ml、术后下床及住院时间均优于对照组(P<0.05);研究组术后1个月、2个月的Harris评分(82.51±4.29)分、(86.37±5.13)分均高于对照组(P<0.05);研究组与对照组并发症总发生率未显示高度差异(P>0.05)。结论与经PA行THA治疗相比,经DAA行THA治疗术后住院时间更短,且髋关节功能恢复更佳。

Objective To investigate the clinical efficacy of DAA and PA in THA and its effect on hip function.Methods A total of102 patients who underwent THA from January 2017 to January 2018 were enrolled in the study.They were randomly divided intostudy group and control group,with 51 cases in each group.The patients in the control group underwent PA treatment.The patients inthe study group underwent DAA.The intraoperative blood loss, bedtime, hospital stay,acetabular anteversion,complications and hipscores were compared between the two groups.Results In the study group,the mean blood volume （124.13 ±29.47）ml,postoperativeoutpatient and hospital stay were better than the control group（ P〈0.05）.The Harris score （82.51±4.29）and （86.37±5.13）scores of thestudy group were higher than those of the control group at 1 month and2 months after operation（ P〈0.05）.The total incidence ofcomplications in the study group and the control group did not show height difference（ P〉0.05）.Conclusion Compared with PA-treated THA,the hospitalization time after THA treatment with DAA was shorter and the hip function recovery was better.