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微创全髋关节置换OCM入路的初步临床应用

Preliminary Clinical Comparison Between Minimally Invasive OCM Approach and Two-incision Total Hip Arthroplasty

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【作者】 马楚平何光联欧迪军李康养梁江山林阳

【Author】 MA Chu-ping,HE Guang-lian,O Di-jun,et al.The First Orthopaedic Department of Shenzhen Nanshan People’s Hospital Shenzhen 518052,China

【机构】 深圳市南山人民医院骨一科

【摘要】 目的报道OCM入路微创全髋关节置换术的初步临床应用结果,及其与双切口入路的疗效比较。方法本研究分两组,OCM入路组20例,双切口入路组21例。记录术中、术后的出血量、手术时间,术后开始下床活动的时间、弃拐时间和术后3月Harris评分等。结果术中、术后出血量OCM入路组较少,但无显著性差异。手术时间、术后开始下床活动时间、患腿单足站立时间、弃拐时间OCM入路组明显缩短,但术后3月Harris评分并无明显差异。结论微创全髋关节置换OCM入路组的近期术后疗效明显。

【Abstract】 Objective To report the early results of the preliminary clinical result of minimally invasive OCM approach with two-incision Total Hip Arthroplasty.Methods Two groups were included in this study.One group comprised 20 cases with the OCM approach while the other had 21 cases of the minimally-invasive two-incision approach.The intra-and post-operative bleeding volume,the time toleave bed and the time to walk without crutches were recorded.Results The intra-and postoperative bleeding volume was less in the OCM approach group than in the standard approach group,but there was no significant difference between them.The time of operation,intra-and postoperative bleeding volume in OCM approach group was significant less.The patients in the OCM approach group seem to leave the bed earlier,walk independently earlier ssignificantly.Conclusion The short-term result of the OCM approach group is better than that of the minimally invasive two-incision group.

  • 【文献出处】 中国实用医药 ,China Practical Medicine , 编辑部邮箱 ,2009年17期
  • 【分类号】R687.4
  • 【下载频次】67
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