| 袁永建,井 成,张志强,徐 闯,杜长岭.不同入路人工全髋关节置换术对髋关节疾病患者康复进程、髋关节功能和生活质量的影响[J].,2020,(14):2694-2697 |
| 不同入路人工全髋关节置换术对髋关节疾病患者康复进程、髋关节功能和生活质量的影响 |
| Effects of Total Hip Arthroplasty with Different Approaches on Rehabilitation Process, Hip Function and Quality of Life of Patients with Hip Diseases |
| 投稿时间：2020-01-10 修订日期：2020-01-31 |
| DOI：10.13241/j.cnki.pmb.2020.14.020 |
| 中文关键词: 后外侧入路 SuperPATH入路 全髋关节置换术 康复 髋关节功能 生活质量 |
| 英文关键词: Posterolateral approach SuperPATH approach Total hip arthroplasty Rehabilitation Hip function Quality of life |
| 基金项目:山东省科技发展计划项目（2015GSF229014） |
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| 中文摘要: |
| 摘要 目的：探讨不同入路人工全髋关节置换术（THA）对髋关节疾病患者康复进程、髋关节功能和生活质量的影响。方法：回顾性分析2016年4月~2018年11月期间到我院行THA治疗的髋关节疾病105例患者的临床资料。根据入路方式的不同将其分为A组（n=54，后外侧入路）和B组（n=51，SuperPATH入路），术后行1年的随访，比较两组患者康复进程、髋关节功能和生活质量，记录两组术后并发症发生情况。结果：B组术中失血量、术后引流量少于A组，切口长度、术后第一次下地时间短于A组（均P<0.05）；B组手术时间长于A组（P<0.05）。两组术后1个月、3个月、6个月、12个月髋关节屈曲活动度、髋关节功能Harris评分、髋关节外展活动度均较术前呈先升高后趋于平稳趋势（P<0.05）；B组术后1个月髋关节屈曲活动度及外展活动度、髋关节功能Harris评分高于A组（P<0.05）；B组术后3个月、6个月、12个月髋关节屈曲活动度及外展活动度、髋关节功能Harris评分与A组比较无差异（P>0.05）。两组末次随访时SF-36各维度评分均较术前升高，且B组高于A组（P<0.05）。两组术后并发症发生率比较无差异（P>0.05）。结论：与后外侧入路方式相比，髋关节疾病患者THA中采用SuperPATH入路，可促进患者早日康复，有利于患者早期髋关节功能的恢复，对生活质量的改善更为显著，且不增加并发症发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of total hip arthroplasty (THA) with different approaches on the rehabilitation process, hip function and quality of life of patients with hip diseases. Methods: The clinical data of 105 patients with hip joint disease who received THA treatment in our hospital from April 2016 to November 2018 were analyzed retrospectively. According to the different approaches, the patients were divided into the group A (n=54, posterolateral approach) and group B (n=51, SuperPATH approach). Postoperative follow-up was performed for 1 year, the rehabilitation process, hip joint function and quality of life of patients in the two groups were compared, and postoperative complications in the two groups were recorded. Results: The intraoperative blood loss and postoperative drainage volume in group B were less than those in group A, and the incision length and the postoperative first time to go to the ground were shorter than those in group A (all P<0.05). The operation time in group B was longer than that in group A (P<0.05). At 1, 3, 6, and 12 months after operation, the flexion mobility, hip function Harris score, and hip abduction mobility in the two groups increased first and then stabilized compared with those before operation (P<0.05). The flexion activity, abduction activity and hip function Harris score in group B were higher than those in group A (P<0.05). There were no differences in hip flexion mobility, abduction mobility and hip function Harris score between group B and group A at 3, 6 and 12 months after operation (P>0.05). At the last follow-up, SF-36 scores of all dimensions in both groups were higher than those before operation, and those in group B were higher than those in group A (P<0.05). There was no difference in the incidence of postoperative complications between the two groups (P>0.05). Conclusion: Compared with the posterolateral approach, the SuperPATH approach adopted in THA for patients with hip disease can promote the early recovery of patients, facilitate the early recovery of hip function, improve the quality of life more significantly, and it do not increase the incidence of complications. |
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