【摘要】 目的探讨小切口髋关节置换治疗高龄股骨粗隆间骨折患者的安全性及临床疗效。方法选取2013年7月~2015年6月我院收治的高龄股骨粗隆间骨折患者110例,随机分为对照组和观察组,每组各55例,其中对照组采用标准切口全髋关节置换术(THA),观察组患者采用后外侧小切口微创人工全髋关节置换术(MIS-THA),分析两组患者的手术情况及康复情况。结果与对照组患者相比,观察组患者的输血量、术中出血量和术后引流量明显减少,差异有统计学意义(P<0.05);而手术时间与对照组相比差异无统计学意义(P>0.05);此外,观察组术后1个月的VAS评分以及3个月的Harris评分均明显优于对照组,差异有统计学意义(P<0.05)。结论小切口微创人工全髋关节置换术治疗高龄股骨粗隆间骨折患者的临床疗效确切,具有手术创伤小、出血少,恢复快等优势,在临床手术治疗过程中值得推荐应用。更多还原

【Abstract】 Objective To explore the safety and clinical effect of minimally invasive total hip arthroplasty in the treatment of elderly patients with intertrochanteric fractures. Methods 110 elderly patients with intertrochanteric fractures who were in our hospital from July 2013 to June 2015 were randomly divided into control group and observation group, 55 cases in each group. The control group was treated with standard invasive total hip arthroplasty(THA), and the observation group was treated with minimally invasive total hip arthroplasty(MIS-THA). The operation and rehabilitation situations of the two groups were compared and analyzed. Results Compared with the control group, the volume of blood transfusion, postoperative bleeding and postoperative drainage decreased significantly in the observation group, the differences were statistically significant(P < 0.05), there was no significant difference in the operation time between the two groups(P > 0.05). In the observation group, the VAS scores 1 month after surgery and Harris scores 3 months after surgery were significantly better than those of the control group, the differences were statistically significant(P < 0.05). Conclusion MIS-THA is effective in the treatment of elderly patients with intertrochanteric fractures, which is superior for less surgical trauma, less bleeding, shorter recovery time, and worthy of promotion in clinical surgeries.更多还原