Super PATH微创入路髋关节置换术治疗股骨颈骨折的效果观察
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摘要
目的观察Super PATH微创入路髋关节置换术治疗股骨颈骨折的效果。方法 80例股骨颈骨折患者随机分为观察组和对照组,每组40例。对照组实施常规全髋关节置换术,观察组实施Super PATH微创入路髋关节置换术。对比两组手术前后的血红蛋白水平、疼痛、髋关节功能评分以及疗效。结果治疗1、3 d后,两组的血红蛋白水平均比治疗前明显降低(P<0.01),两组间的血红蛋白水平差异则无统计学意义(P>0.05)。治疗后,两组的疼痛评分均明显降低,髋关节功能评分均明显增高,且以观察组更为显著(P<0.01)。治疗后两组的疗效差异有统计学意义(P<0.05)。结论Super PATH微创入路髋关节置换术可缓解股骨颈骨折患者的疼痛程度,提高其髋关节功能水平,短期疗效优于常规髋关节置换术。
Objective To observe the effect of Super PATH minimally invasive hip arthroplasty in the treatment of femoral neck fracture. Methods A total of 80 cases with femoral neck fracture were randomly divided into the Observation Group and Control Group, 40 cases in each group. The Control Group received conventional total hip arthroplasty while the Observation Group received Super PATH minimally invasive hip arthroplasty. The two groups were compared before and after the operation in terms of the hemoglobin level, pain, hip function score and curative effect. Results After the treatment on Day 1 and 3, both groups had hemoglobin level significantly decreased compared with those before the treatment(P<0.01),but there was no significant difference in hemoglobin level between the two groups(P>0.05). After the treatment, both groups had the pain score significantly decreased and had hip function score significantly increased compared with those before the treatment, and the Observation Group showed a more significant change(P<0.01). There was significant difference between the two groups after treatment(P<0.05). Conclusion Super PATH minimally invasive hip arthroplasty can relieve the pain of patients with femoral neck fracture and improve their hip function. It is superior to the conventional hip arthroplasty in terms of the short-term effect.
Objective To observe the effect of Super PATH minimally invasive hip arthroplasty in the treatment of femoral neck fracture. Methods A total of 80 cases with femoral neck fracture were randomly divided into the Observation Group and Control Group, 40 cases in each group. The Control Group received conventional total hip arthroplasty while the Observation Group received Super PATH minimally invasive hip arthroplasty. The two groups were compared before and after the operation in terms of the hemoglobin level, pain, hip function score and curative effect. Results After the treatment on Day 1 and 3, both groups had hemoglobin level significantly decreased compared with those before the treatment(P<0.01),but there was no significant difference in hemoglobin level between the two groups(P>0.05). After the treatment, both groups had the pain score significantly decreased and had hip function score significantly increased compared with those before the treatment, and the Observation Group showed a more significant change(P<0.01). There was significant difference between the two groups after treatment(P<0.05). Conclusion Super PATH minimally invasive hip arthroplasty can relieve the pain of patients with femoral neck fracture and improve their hip function. It is superior to the conventional hip arthroplasty in terms of the short-term effect.
引文
[1]徐果飞,胡力,杨书华. SuperPATH微创入路人工股骨头置换术治疗老年股骨颈骨折的短期随访研究[J].海南医学,2018, 22(17):65-66.
[2]吴良浩,禹宝庆,陈帆成. SuperPATH微创入路人工股骨头置换治疗老年股骨颈骨折:前瞻性、开放性、随机对照临床试验[J].中国组织工程研究, 2017, 23(7):32-33.
[3] ZHANG L Z, GAO J, ZHANG Z C, et al. Comparison of clinical effects of total artificial hip replacement and cannulated screw fixation for the treatment of displaced femoral neck fractures in elderly patients[J]. Zhongguo Gu Shang, 2018, 31(2):103.
[4]曹晓东,叶军,王俸武.前外侧入路微创全髋关节置换和半髋关节置换术后股骨颈骨折愈合及患肢疼痛程度的比较[J].海南医学院学报, 2017, 26(4):91-93.
[5]张建平,梁文楷,赵巍,等. Superpath入路与传统后外侧入路髋关节置换疗效对比[J].山西医药杂志, 2017, 25(22):55-57.
[6]夏良政,李胜华,袁中山,等.普通双极股骨头SuperPATH入路治疗老年股骨颈骨折[J].中国组织工程研究, 2018, 22(19):2953-2960.
[7]范海霞,沈丽慧,季清芬,等. Super-Path微创人工全髋关节置换术的手术配合[J].护士进修杂志, 2017, 24(10):85-86.
[8]米雷,付三清,袁志根,等.微创直接前方入路髋关节置换术治疗股骨颈骨折合并阿尔茨海默病的短期疗效观察[J].中国骨与关节损伤杂志, 2017, 26(10):9-11.
[9] GROSSO M J, DANOFF J R, THACHER R, et al. Risk factors for conversion surgery to total hip arthroplasty of a hemiarthroplasty performed for a femoral neck fracture[J].HIP International, 2017, 25(4):10-11.
[10]戴醒明,杨效宁,孙一公,等.前外侧与后外侧路小切口髋关节置换术治疗老年股骨颈骨折的疗效比较研究[J].现代生物医学进展, 2017, 17(34):54-55.
[11]石少辉,吴国平,文海昭,等.改良外旋肌重建在老年股骨颈骨折患者后外侧入路髋关节置换术中的应用[J].新乡医学院学报, 2017, 25(1):62-63.
[12]张国鑫,喜闻天,邬其华.股骨颈骨折后外侧入路双极人工股骨头置换术后脱位的临床研究[J].中国骨与关节损伤杂志, 2018, 23(6):55-57.
[13] MUKKA S, KNUTSSON B, MAJEED A, et al. Reduced revision rate and maintained function after hip arthroplasty for femoral neck fractures after transition from posterolateral to direct lateral approach[J]. Acta Orthop, 2017, 88(199):1-7.
[2]吴良浩,禹宝庆,陈帆成. SuperPATH微创入路人工股骨头置换治疗老年股骨颈骨折:前瞻性、开放性、随机对照临床试验[J].中国组织工程研究, 2017, 23(7):32-33.
[3] ZHANG L Z, GAO J, ZHANG Z C, et al. Comparison of clinical effects of total artificial hip replacement and cannulated screw fixation for the treatment of displaced femoral neck fractures in elderly patients[J]. Zhongguo Gu Shang, 2018, 31(2):103.
[4]曹晓东,叶军,王俸武.前外侧入路微创全髋关节置换和半髋关节置换术后股骨颈骨折愈合及患肢疼痛程度的比较[J].海南医学院学报, 2017, 26(4):91-93.
[5]张建平,梁文楷,赵巍,等. Superpath入路与传统后外侧入路髋关节置换疗效对比[J].山西医药杂志, 2017, 25(22):55-57.
[6]夏良政,李胜华,袁中山,等.普通双极股骨头SuperPATH入路治疗老年股骨颈骨折[J].中国组织工程研究, 2018, 22(19):2953-2960.
[7]范海霞,沈丽慧,季清芬,等. Super-Path微创人工全髋关节置换术的手术配合[J].护士进修杂志, 2017, 24(10):85-86.
[8]米雷,付三清,袁志根,等.微创直接前方入路髋关节置换术治疗股骨颈骨折合并阿尔茨海默病的短期疗效观察[J].中国骨与关节损伤杂志, 2017, 26(10):9-11.
[9] GROSSO M J, DANOFF J R, THACHER R, et al. Risk factors for conversion surgery to total hip arthroplasty of a hemiarthroplasty performed for a femoral neck fracture[J].HIP International, 2017, 25(4):10-11.
[10]戴醒明,杨效宁,孙一公,等.前外侧与后外侧路小切口髋关节置换术治疗老年股骨颈骨折的疗效比较研究[J].现代生物医学进展, 2017, 17(34):54-55.
[11]石少辉,吴国平,文海昭,等.改良外旋肌重建在老年股骨颈骨折患者后外侧入路髋关节置换术中的应用[J].新乡医学院学报, 2017, 25(1):62-63.
[12]张国鑫,喜闻天,邬其华.股骨颈骨折后外侧入路双极人工股骨头置换术后脱位的临床研究[J].中国骨与关节损伤杂志, 2018, 23(6):55-57.
[13] MUKKA S, KNUTSSON B, MAJEED A, et al. Reduced revision rate and maintained function after hip arthroplasty for femoral neck fractures after transition from posterolateral to direct lateral approach[J]. Acta Orthop, 2017, 88(199):1-7.