直接前方入路在行人工全髋关节置换术退行性髋关节炎患者中的应用.docxVIP

直接前方入路在行人工全髋关节置换术退行性髋关节炎患者中的应用 陈文辉 [摘要]目的 評价直接前方入路在行人工全髋关节置换术退行性髋关节炎患者中的应用效果。方法 选取20XX年1～10月我院收治的30例退行性髋关节炎行人工全髋关节置换术患者作为研究对象进行回顾性分析，根据手术入路的不同将患者分成观察组和对照组，每组各15例。观察组患者行直接前方入路进行治疗，对照组患者采用后外侧入路进行治疗，术后24 h两组均开始口服利伐沙班10 mg qd抗凝治疗。比较两组患者的手术时间、术中出血量、术后疼痛评分、Harris髋关节功能评分。结果 观察组患者的手术时间短于对照组，差异有统计学意义（P0.05）;观察组患者的术中出血量少于对照组，差异有统计学意义（P0.05）;观察组患者术后1、4、12周的疼痛评分低于对照组，差异有统计学意义（P0.05）;观察组患者术后1、4、12周的Harris髋关节功能评分高于对照组，差异有统计学意义（P0.05）。结论 直接前方入路能明显缩短手术时间，减少术中出血量，减轻全髋关节置换术后疼痛，促进全髋关节置换术后功能恢复。 [关键词]直接前方入路;退行性髋关节炎;初次人工全髋关节置换;疼痛;功能评分 [中图分类号] R683.4 [文献标识码] A [文章编号] 1674-4721（2020）7（c）-0086-04 Application of direct anterior approach in patients with degenerative hip arthritis undergoing total hip arthroplasty CHEN Wen-hui Department of Orthopaedics， the Sixth Hospital of Fuzhou， Jiangxi Province， Fuzhou 344000， China [Abstract] Objective To evaluate the application effect of direct anterior approach in patients with degenerative hip arthritis undergoing total hip arthroplasty. Methods A total of 30 patients with degenerative hip arthritis of the hip who underwent total hip arthroplasty in our hospital from January to October 20XX were selected as the study subjects for retrospective analysis. The patients were divided into observation group and control group according to different surgical approaches， with 15 cases in each group. The observation group was treated by direct anterior approach while the control group was treated by posterolateral approach. The two groups were given oral Livaroxaban 10 mg qd for anticoagulant therapy 24 hours after operation. The operation time， intraoperative blood loss， postoperative pain score and Harris hip joint function score between the two groups were compared. Results The operation time in observation group was shorter than that in control group， and the difference had statistical significance （P0.05）. The intraoperative blood loss in observation group was less than that in control group， and the difference had