SuperPath切口微创人工全髋关节置换术治疗股骨头坏死的效果

Effect of SuperPath incision minimally invasive total hip arthroplasty in the treatment of femoral head necrosis

目的探究SuperPath切口微创人工全髋关节置换术治疗股骨头坏死的效果。方法选取2015年1月～2018年1月在我院诊断并治疗的60例股骨头坏死患者作为研究对象,将其随机分为观察组(30例)和对照组(30例)。观察组患者行SuperPath切口微创人工全髋关节置换术,对照组患者行常规人工全髋关节置换术。比较两组患者的围术期情况(包括手术时间、术中出血量、术后下地时间、住院时间及伤口引流量)、术后髋关节改善程度(Harris评分,Barthel指数)以及并发症发生率。结果观察组患者的手术时间明显长于对照组,差异有统计学意义(P<0.05),观察组患者的术中出血量及伤口引流量少于对照组,术后下地时间及平均住院时间短于对照组,差异有统计学意义(P<0.05)。术前,两组患者的Barthel评分及Barhthl指数比较,差异无统计学意义(P>0.05),术后3个月,观察组患者的Harris评分及Barthel指数高于对照组及治疗前,差异有统计学意义(P<0.05)。观察组患者的术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 SuperPath切口微创人工全髋关节置换术,患者的出血量少,愈合时间短,髋关节功能恢复佳,同时安全性有保证,值得进一步推广。

Objective To explore the effect of SuperPath incision minimally invasive total hip arthroplasty in the treatment of femoral head necrosis. Methods From January 2015 to January 2018, 60 patients with femoral head necrosisdiagnosed and treated in our hospital were selected as subjects and were randomly divided into observation group （30cases） and control group （30 cases）. The observation group was performed SuperPath incision minimally invasive total hiparthroplasty, and the control group underwent conventional total hip arthroplasty. The operation situation （including operation time, bleeding volume, postoperative ambulation time, hospitalization time and postoperative drainage volume）,the postoperative recovery of hip joint function （Harris score, Barthel index） and the incidence of postoperative complications of the two groups were compared. Results The operation time of the observation group was significantly longerthan that of the control group, the difference was statistically significant （P〈0.05）. The operative blood loss and wounddrainage in the observation group were less than those in the control group, and the postoperative ground time and average hospitalization time were shorter than those in the control group, the differences were statistically significant （P〈0.05）. Before operation, the Harris scores and Barthel indexes of the two groups were not statistically significant （P〉0.05）. Three months after surgery, the Harris score and Barthel index in the observation group were higher than those inthe control group and before treatment, the differences were statistically significant （P〈0.05）. The total incidence of postoperative complications was lower in the observation group than that in the control group, the difference was statistically significant （P〈0.05）. Conclusion The SuperPath incision minimally invasive total hip arthroplasty is an operationwith less bleeding, shorter healing time, better recovery of hip joint function, and a guarantee of safety. It is worth further promoting.