SuperPATH微创与常规入路行全髋关节置换术的早期疗效比较

目的比较SuperPATH入路与常规入路行人工全髋关节置换术的早期疗效。方法回顾性分析比较2015年11月~2016年10月初次全髋关节置换术治疗的60例的临床资料,SuperPATH入路组、常规入路组各30例。比较两组手术时间、切口长度、术中出血量、输血量;臼杯外展角、前倾角、术后24 h疼痛视觉模拟VAS评分、术后6月Haris评分。结果与常规组相比,SuperPATH组切口较短、术后24 h VAS评分较低、术中出血量、输血量较少。两组的置换时间、髋臼角测量、术后6个月Harris评分差异均无统计学意义(0.05)。结论 SuperPATH微创人工全髋关节置换术切口小、疼痛轻、出血少,可快速康复。但SuperPATH入路存在安装假体难度相对较大,易致假体位置不佳等不足。

Comparison the early curative effect of SuperPATH and conventional incision for total hip arthroplasty

Objective To compare the early curative effect of SuperPATH and conventional incision for total hip arthroplasty. Methods The clinical data of 60 patients with primmry total hip arthroplasty from November 2015 to October 2016 were retrospectively analyzed. These patients were divided to SuperPATH group and conventional group. These data were compared between two groups, including the operative time, incision length, blood loss, blood transfusion, cup inclination, cup anteversion, postoperative 24 h hip pain (VAS), and postoperative 6-month Harris score. Results SuperPATH group had shorter incision length, lower postoperative 24h hip pain (VAS), less blood loss, less blood transfusion volume than conventional group, there were no significant differences between two groups in term of the operative time, cup inclination, cup anteversion, postoperative 6-month Harris score (P>0.05). Conclusion SuperPATH minimally invasive total hip arthroplasty had small incision, mild pain, less bleeding, which is helpful for rapid recovery. However, SuperPATH also has some shortcomings, like relatively difficult to install the prosthesis, inclined to result in prosthesis not well positioned.