摘要:目的:探讨小切口全髋关节置换的疗效及优缺点。方法:针对性选取我院行THA的病员48例,分为初期小切口THA组、熟练小切口THA组、传统切口THA组,各组16例。记录切口长度、术中出血量、术后12小时引流量、手术时间及Harris评分,对其治疗效果进行回顾性分析。结果:初期小切口THA组平均出血量,术后12小时平均引流量,平均手术时间等指标均高于传统组,术后Harris评分低于传统组,熟练组与传统组比较,切口长度较短、术中出血量略少,术后早期Harris评分高,远期Harris评分接近。结论:熟练小切口THA与传统切口THA比较远期疗效无明显优点,初期小切口THA不具微创优势,不必强求小切口THA,并应注重学习曲线。
Citation：
ZHAO Qiang,CHEN Xingai,HU Dingxiang,et al.. Clinical Analysis of Minimal Incision for Total Hip Arthroplasty. West China Medical Journal, 2009, 24(7): 1684-1686. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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郑得志,于建华,等.小切口与标准切口全髋关节置换术早期疗效的比较[J].中国骨与关节损伤杂志,2008,23:529-532.
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张海波,王义生,贾思明,等.一期全髋关节置换术治疗双侧股骨头缺血性坏死[J].中国骨与关节损伤杂志, 2003,20(10):649.
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- 1. HOWELL J R, GERBUZ D S, DUNCAN C P. Minimally invasive hip replacement:rationale, applied anatomy and ynstrumentation[J]. Orthop clin North Am, 2004,35:107.
- 2. BARRACK RL.The mini_incision:Occasionally desirable, but rarely necessary[J]. Orthoredics,2004,27:936.
- 3. 张先龙,王琦,蒋垚,等.前路小切口人工全髋关节置换术疗效分析[J].中华外科杂志,2006,44:512-515.
- 4. MALIK A,DORR LD. The science of minirnally invasive tolal hip arthroplasty[J].Clin orthop Relat Res,2007,(463):74-84.
- 5. SCULCO TP, JORCLAN Lc. The Miniincision approach to tolal nip arthrop[J]. Lasty Instr course Lect,2004,53:141-147.
- 6. WOOLSON ST, MOW CS, SYQUIA JF, et al.Comparsion a standard incision or a minincison[J]. J Bone Joint Surg(Am),2004,86:1353.
- 7. BERRY DJ, BERGER RA, CALLAGHAN JJ, et al. Symposium:Minimally ynvasi ve tolal hip arth roplasty.De relopment, early results and a critical analysis[J]. J Bone Joint Surg(Am),2003,85:2235.
- 8. 郑得志,于建华,等.小切口与标准切口全髋关节置换术早期疗效的比较[J].中国骨与关节损伤杂志,2008,23:529-532.
- 9. 杨柳,李起鸿.小切口关节置换术与微创关节外科[J].中国矫形外科杂志,2005,405-406.
- 10. 张海波,王义生,贾思明,等.一期全髋关节置换术治疗双侧股骨头缺血性坏死[J].中国骨与关节损伤杂志, 2003,20(10):649.
