SuperPATH入路和传统后外侧入路行全髋关节置换术的临床疗效分析

Clinical analysis of effectiveness between SuperPATH approach and traditional posterolateral approach in total hip arthroplasty

目的探讨研究SuperPATH入路和传统后外侧入路行全髋关节置换术的临床疗效。方法选取本院2016年6月至2018年4月收治的股骨颈骨折患者共127例,分为SuperPATH入路(试验组60例)和后外侧入路(对照组67例)行全髋关节置换术,比较两组患者围手术期情况、视觉模拟评分、以及术前、术后1个月、术后3个月的髋关节Harris评分。结果试验组患者切口长度、术中出血量等各项观察指标均优于对照组,差异有统计学意义(P<0.05),试验组的术后视觉模拟评分优良率高于对照组,差异有统计学意义(P<0.05),髋关节Harris评分发现,试验组恢复迅速,在术后1个月恢复至较理想状态,术后3个月两组患者髋关节Harris评分基本一致,差异无统计学意义。结论 SuperPATH入路和传统后外侧入路相比,具有创口小、术后恢复快等诸多优点,临床疗效显著,值得学习和推广。

Objective To investigate the clinical efficacy of SuperPATH approach and traditional posterolateral approach in total hip arthroplasty(THA).Methods A total of 127 patients with femoral neck fractures treated in our hospital from 2016.6 to 2018.4 were divided into SuperPATH approach(60 cases in the experimental group)and traditional posterolateral approach(67 cases in the control group)in THA.The perioperative period,visual analogue score of the two groups were compared.Hip Harris score before and after 1 month and 3 months after operation were used as a indication of hip joint function.Results The length of incision,the amount of bleeding and so on in the experimental group were superior to those of the control group,and the difference was statistically significant(P<0.05).The excellent rate of visual analogue score in the experimental group was higher than that of the control group,the difference was statistically significant too(P<0.05).Hip Harris score found that the experimental group recovered quickly and recovered to the ideal state a month after the operation,Hip Harris score of the two groups were almost the same at three months after operation and there was no significant difference between the two groups.Conclusion Compared with the traditional posterolateral approach,SuperPATH approach has many strong points,such as smaller wound,faster recovery and so on.Its clinical effect is remarkable,and it is worth learning and promoting.