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[1]鮑榮華,王國(guó)平,夏曉斌,等.直接前入路微創(chuàng)全髖關(guān)節(jié)置換術(shù)治療晚期股骨頭壞死[J].中醫(yī)正骨,2016,28(03):61-63.
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直接前入路微創(chuàng)全髖關(guān)節(jié)置換術(shù)治療晚期股骨頭壞死()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年03期
頁(yè)碼:
61-63
欄目:
骨科微創(chuàng)技術(shù)
出版日期:
2016-03-20

文章信息/Info

作者:
鮑榮華1王國(guó)平1夏曉斌1馬金忠2
1.浙江省杭州市富陽(yáng)中醫(yī)骨傷醫(yī)院,浙江 杭州 311400;
2.上海交通大學(xué)附屬第一人民醫(yī)院,上海 201620
關(guān)鍵詞:
股骨頭壞死 關(guān)節(jié)成形術(shù)置換 外科手術(shù)微創(chuàng)性 手術(shù)入路
摘要:
目的:觀察直接前入路微創(chuàng)全髖關(guān)節(jié)置換術(shù)治療晚期股骨頭壞死的臨床療效和安全性。方法:2013年1月至2014年9 月,采用直接前入路微創(chuàng)全髖關(guān)節(jié)置換術(shù)治療晚期股骨頭壞死患者36例,男24例、女12例。年齡55~79歲,中位數(shù)65歲。按 股骨頭壞死的ARCO分期,Ⅲ期3例、Ⅳ期33例。排除合并陳舊性髖臼骨折、異位骨化、骨盆畸形和后髖臼缺損者。術(shù)后隨 訪觀察髖關(guān)節(jié)疼痛改善、并發(fā)癥發(fā)生及髖關(guān)節(jié)功能改善情況。結(jié)果:手術(shù)時(shí)間(70.50±10.50)min,術(shù)中出血量 (510.00±159.30)mL,下床時(shí)間(2.50±1.28)d,住院時(shí)間(12.10±4.50)d。本組患者均獲隨訪,隨訪時(shí)間6~ 12個(gè)月,中位數(shù)8個(gè)月。髖關(guān)節(jié)疼痛視覺(jué)模擬評(píng)分由術(shù)前(8.04±1.51)分降至術(shù)后6個(gè)月(0.65±0.23)分。術(shù)后6 個(gè)月,采用Harris髖關(guān)節(jié)功能評(píng)分標(biāo)準(zhǔn)評(píng)價(jià)療效,優(yōu)27例、良6例、可3例。均未出現(xiàn)肢體短縮、畸形、感染、肺栓塞、假 體松動(dòng)、假體下沉、下肢神經(jīng)損傷等并發(fā)癥,均恢復(fù)獨(dú)立行走和生活自理能力。結(jié)論:采用直接前入路微創(chuàng)全髖關(guān)節(jié)置換 術(shù)治療晚期股骨頭壞死,創(chuàng)傷小,能夠消除或緩解髖關(guān)節(jié)疼痛,有利于患肢功能的恢復(fù),并發(fā)癥少,值得臨床推廣應(yīng)用。

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備注/Memo

備注/Memo:
基金項(xiàng)目:浙江省中醫(yī)藥重點(diǎn)學(xué)科建設(shè)計(jì)劃項(xiàng)目(2012-XK-D03); 浙江省富陽(yáng)市科技發(fā)展計(jì)劃項(xiàng)目(2013SF010)
通訊作者:馬金忠 E-mail:[email protected]
更新日期/Last Update: 2016-03-30