摘要
目的：观察改良外侧斜行小切口用于全髋关节置换的疗效。方法：2005年8月～2007年11月，选择80例96髋，男45例，女35例；年龄23～74岁，平均51．4岁；体重指数平均25．20。股骨头缺血坏死34例，髋发育不良并发骨性关节炎30例，高龄股骨头颈骨折16例，均行改良外侧斜行小切口全髋关节置换术。术后随访半年，对疗效进行分析。结果：手术时间平均70min，术后平均6d下地，半年随访结果Harris评分平均93分。结论：改良外侧斜行小切口应用于全髋关节置换，手术时间短、出血少及下地时间早为其突出优点。
Objective：To observe clinical outcome of total hip arthroplasty （THA） with modified lateral oblique shorter incision. Methods：During August 2005-November 2008,80 patients（96 hips） were treated with minimally invasive THA with modified lateral oblique incision surgery. The average age of patients was 51.4 years（from 23 to 74 years）. There were 45 males and 35 females. The average body mass index（BMI） was 25.20. Of the 80 patients,34 were femoral head necrosis ,30 were hip dysplasia complicated by arthritis, 16 were senile femoral head fracture, all of whom undertook total hip replacement with modified lateral oblique shorter incision. The patients were followed up for 6 months after surgery and the results were analyzed. Results：The average operation time was 70 rain. All the patients could get out of bed 6 days after operation. A 6-month follow up showed that Harris score was 93. Conclusion：THA with modified lateraloblique shorter incision needs shorter operation time. The patients suffer from less pains and less blood loss and have a quicker recovery.
出处
《华北国防医药》
2008年第5期32-33,F0003,共3页
Medical Journal of Beijing Military Region
关键词
髋关节置换术
全
外科手术
微创性
改良外侧斜行小切口
Hip replacement, total
Surgical procedures, minimally invasive
Modified lateral oblique shorter incision
