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[1]吳晗,白文藝,程文丹,等.直接前入路與后外側(cè)入路全髖關(guān)節(jié)置換術(shù)圍手術(shù)期隱性失血量的比較研究[J].中醫(yī)正骨,2019,31(09):7-10.
　WU Han,BAI Wenyi,CHENG Wendan,et al.A comparative study of perioperative hidden blood loss in patients who received total hip arthroplasty through direct anterior approach versus posterolateral approach[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(09):7-10.
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直接前入路與后外側(cè)入路全髖關(guān)節(jié)置換術(shù)圍手術(shù)期隱性失血量的比較研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年09期
頁(yè)碼:
7-10
欄目:
臨床研究
出版日期:
2019-09-20

文章信息/Info

Title:
A comparative study of perioperative hidden blood loss in patients who received total hip arthroplasty through direct anterior approach versus posterolateral approach
作者:
吳晗; 白文藝; 程文丹; 吳一博; 荊玨華
(安徽醫(yī)科大學(xué)第二附屬醫(yī)院,安徽 合肥 230601)
Author(s):
WU Han; BAI Wenyi; CHENG Wendan; WU Yibo; JING Juehua
The Second Hospital of Anhui Medical University,Hefei 230601,Anhui,China
關(guān)鍵詞:
關(guān)節(jié)成形術(shù); 置換; 髖;  圍手術(shù)期;  失血; 手術(shù);  手術(shù)入路
Keywords:
arthroplasty; replacement; hip;  perioperative period;  blood loss; surgical;  operative approach
摘要:
目的:比較直接前入路與后外側(cè)入路對(duì)全髖關(guān)節(jié)置換術(shù)(total hip arthroplasty,THA)圍手術(shù)期隱性失血量的影響。方法:對(duì)行初次單側(cè)THA的182例患者的病例資料進(jìn)行回顧性分析,按照手術(shù)入路分為直接前入路組和后外側(cè)入路組。計(jì)算2組患者術(shù)前血容量、顯性失血量,根據(jù)術(shù)前和術(shù)后第1天的紅細(xì)胞壓積計(jì)算總失血量,進(jìn)而計(jì)算隱性失血量及隱性失血量占總失血量的比例,并進(jìn)行組間比較。結(jié)果:182例患者中,直接前入路組62例、后外側(cè)入路組120例。直接前入路組總失血量、隱性失血量均較后外側(cè)入路組少[(530.88±311.44)mL,(622.90±269.51)mL,t=1.237,P=0.040;(280.64±292.84)mL,(348.52±270.53)mL,t=1.089,P=0.011],但2組患者隱性失血量占總失血量的比例,組間差異無(wú)統(tǒng)計(jì)學(xué)意義[(52.86±11.09)%,(55.95±22.31)%; t=-1.471,P=0.121]。結(jié)論:直接前入路THA比后外側(cè)入路THA圍手術(shù)期總失血量和隱性失血量少,但2種入路隱性失血量占總失血量的比例相當(dāng)。
Abstract:
Objective:To compare the effects of direct anterior approach versus posterolateral approach on perioperative hidden blood loss in patients who received total hip arthroplasty(THA).Methods:The medical records of 182 patients who received primary unilateral THA were analyzed retrospectively,and the patients were divided into direct anterior approach group(62 cases)and posterolateral approach group(120 cases)according to the operative approach.The preoperative blood volume and dominant blood loss were calculated.The total blood loss were calculated according to preoperative hematokrit and postoperative day 1 hematokrit,and then the hidden blood loss and the proportion of hidden blood loss to total blood loss were calculated and compared between the 2 groups.Results:The total blood loss and hidden blood loss were less in direct anterior approach group compared to posterolateral approach group(530.88+/-311.44 vs 622.90+/-269.51 mL,t=1.237,P=0.040; 280.64+/-292.84 vs 348.52+/-270.53 mL,t=1.089,P=0.011),while there was no statistical difference in proportion of hidden blood loss to total blood loss between the 2 groups(52.86+/-11.09 vs 55.95+/-22.31%; t=-1.471,P=0.121).Conclusion:The perioperative total blood loss and hidden blood loss are less in patients receiving THA through direct anterior approach compared to patients receiving THA through posterolateral approach,while the two operative approaches are similar to each other in the proportion of hidden blood loss to total blood loss.

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備注/Memo

備注/Memo:
(收稿日期:2019-05-15 本文編輯:楊雅)
更新日期/Last Update: 2019-09-15