| 赵春满,金 冰,赵亚军,李京伟,崔 宾.DAA入路与OCM入路对青年初次髋关节置换术后早期功能的影响[J].,2019,19(23):4512-4515 |
| DAA入路与OCM入路对青年初次髋关节置换术后早期功能的影响 |
| Comparison of Early Function between DAA and OCM Approaches after Primary Hip Arthroplasty in Young Patients |
| 投稿时间：2019-05-18 修订日期：2019-06-14 |
| DOI：10.13241/j.cnki.pmb.2019.23.026 |
| 中文关键词: 直接前侧入路 髋关节前外侧入路 髋关节置换术 早期功能 |
| 英文关键词: Direct Anterolateral Approach (DAA) Orthopaedische Chirurgie Muenchen(OCM) Hip replacement Early function |
| 基金项目:国家卫计委医药科技发展中心项目(w2016ZT009) |
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| 中文摘要: |
| 摘要 目的：探究微创直接前侧入路(Direct anterolateral approach, DAA)与髋关节前外侧入路(Orthopaedische Chirurgie Muenchen,OCM)对青年初次髋关节置换术后早期功能的影响。方法：选择2013年1月至2018年1月于我院接受初次髋关节置换术的67例青年患者，按照其接受术式的不同将其分为DAA组(35例)与OCM组(32例)，对比两组患者手术时间、术中出血量、术后下床活动时间、平均住院时间、术后并发症的发生率，并使用视觉模拟评分(Visual analogue scale, VAS)评估术后1 d、3 d及7 d疼痛度，最后对比两组术后7 d、1个月及6个月的髋关节Harris评分。结果：(1)OCM组手术时间显著短于DAA组(P<0.05)，两组术中出血量、术后引流量、下床活动时间、平均住院时间比较差异无统计学意义(P>0.05)；(2)OCM组术后并发症的发生率明显低于DAA组(P<0.05)；(3)两组术后1 d、3 d及7 d疼痛度对比差异无统计学意义(P>0.05)；(4)术后7 d及1个月，OCM组Harris评分优于DAA组(P<0.05)，两组术后6个月对比差异无统计学意义(P>0.05)。结论：相比于DAA术，OCM术施术时间更短，患者早期髋关节功能恢复较快，但对比两种术式对髋关节远期影响相当。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of early function between minimally invasive Direct Anterolateral Approach (DAA) and Orthopaedische Chirurgie Muenchen (OCM) in young patients after primary hip replacement. Methods: 67 young patients who underwent primary hip replacement in our hospital from January 2013 to January 2018 were enrolled in the DAA group (35 cases) and the OCM group (32 cases). The operation time, intraoperative bleeding volume, postoperative outpatient activity time, and postoperative complications were compared between the two groups. The visual analogue scale (VAS) was used to evaluate the postoperative 1 day and 3 days. The Harris score of hip joint was compared between the two groups 7 days, 1 month and 6 months after operation. Results: (1) The operation time of the OCM group was significantly shorter than the DAA operation (P<0.05). There was no significant difference in the amount of intraoperative bleeding volume, postoperative drainage, time to get out of bed, and average hospital stay between the two groups (P>0.05). (2)The incidence of complications of the OCM after operation was lower than that of the DAA group (P<0.05). (3) There was no significant difference in the degree of pain between the two groups at 1 d, 3 d and 7 d after operation (P>0.05). (4) Harris score of the OCM group was better than that of the DAA group on the7 days and 1 month after operation (P<0.05). There was no significant difference between the two groups at 6 days after operation(P>0.05). Conclusion: Compared with DAA, OCM has shorter operation time and faster recovery of hip function in early stage, but the long-term effects of the two procedures on the hip are comparable. |
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