[1]鲍荣华,王国平,夏晓斌,等.直接前入路微创全髋关节置换术治疗晚期股骨头坏死[J].中医正骨,2016,28(03):61-63.
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直接前入路微创全髋关节置换术治疗晚期股骨头坏死()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年03期
页码:
61-63
栏目:
骨科微创技术
出版日期:
2016-03-20

文章信息/Info

作者:
鲍荣华1王国平1夏晓斌1马金忠2
1.浙江省杭州市富阳中医骨伤医院,浙江 杭州 311400;
2.上海交通大学附属第一人民医院,上海 201620
关键词:
股骨头坏死 关节成形术置换 外科手术微创性 手术入路
摘要:
目的:观察直接前入路微创全髋关节置换术治疗晚期股骨头坏死的临床疗效和安全性。方法:2013年1月至2014年9 月,采用直接前入路微创全髋关节置换术治疗晚期股骨头坏死患者36例,男24例、女12例。年龄55~79岁,中位数65岁。按 股骨头坏死的ARCO分期,Ⅲ期3例、Ⅳ期33例。排除合并陈旧性髋臼骨折、异位骨化、骨盆畸形和后髋臼缺损者。术后随 访观察髋关节疼痛改善、并发症发生及髋关节功能改善情况。结果:手术时间(70.50±10.50)min,术中出血量 (510.00±159.30)mL,下床时间(2.50±1.28)d,住院时间(12.10±4.50)d。本组患者均获随访,随访时间6~ 12个月,中位数8个月。髋关节疼痛视觉模拟评分由术前(8.04±1.51)分降至术后6个月(0.65±0.23)分。术后6 个月,采用Harris髋关节功能评分标准评价疗效,优27例、良6例、可3例。均未出现肢体短缩、畸形、感染、肺栓塞、假 体松动、假体下沉、下肢神经损伤等并发症,均恢复独立行走和生活自理能力。结论:采用直接前入路微创全髋关节置换 术治疗晚期股骨头坏死,创伤小,能够消除或缓解髋关节疼痛,有利于患肢功能的恢复,并发症少,值得临床推广应用。

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备注/Memo

备注/Memo:
基金项目:浙江省中医药重点学科建设计划项目(2012-XK-D03); 浙江省富阳市科技发展计划项目(2013SF010)
通讯作者:马金忠 E-mail:majinzhong007@sina.com
更新日期/Last Update: 2016-03-30