[1]吴晗,白文艺,程文丹,等.直接前入路与后外侧入路全髋关节置换术围手术期隐性失血量的比较研究[J].中医正骨,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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直接前入路与后外侧入路全髋关节置换术围手术期隐性失血量的比较研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期数:
2019年09期
页码:
7-10
栏目:
临床研究
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:
吴晗; 白文艺; 程文丹; 吴一博; 荆珏华
(安徽医科大学第二附属医院,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
关键词:
关节成形术; 置换; 髋;  围手术期;  失血; 手术;  手术入路
Keywords:
arthroplasty; replacement; hip;  perioperative period;  blood loss; surgical;  operative approach
摘要:
目的:比较直接前入路与后外侧入路对全髋关节置换术(total hip arthroplasty,THA)围手术期隐性失血量的影响。方法:对行初次单侧THA的182例患者的病例资料进行回顾性分析,按照手术入路分为直接前入路组和后外侧入路组。计算2组患者术前血容量、显性失血量,根据术前和术后第1天的红细胞压积计算总失血量,进而计算隐性失血量及隐性失血量占总失血量的比例,并进行组间比较。结果:182例患者中,直接前入路组62例、后外侧入路组120例。直接前入路组总失血量、隐性失血量均较后外侧入路组少[(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组患者隐性失血量占总失血量的比例,组间差异无统计学意义[(52.86±11.09)%,(55.95±22.31)%; t=-1.471,P=0.121]。结论:直接前入路THA比后外侧入路THA围手术期总失血量和隐性失血量少,但2种入路隐性失血量占总失血量的比例相当。
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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备注/Memo

备注/Memo:
(收稿日期:2019-05-15 本文编辑:杨雅)
更新日期/Last Update: 2019-09-15