【摘要】 [目的]比较SuperPATH与后外侧入路（posterolateral approach, PLA）初次全髋关节置换术（total hip arthroplasty,THA）的早期疗效。[方法] 2018年7月—2020年12月，对88例患者行THA。其中，45例采用SuperPATH入路，其中2例术中改为后外侧入路，43例纳入研究，43例采用PLA入路。比较两组围手术期、随访和影像资料。[结果]SuperPATH组切口长度、术后引流量、首次下地时间、住院时间均优于PLA组（P<0.05）。但SuperPATH组术中出血量、手术时间不及PLA组（P<0.05）。SuperPATH组完全负重时间显著早于PLA组（P<0.05）。术后3个月SuperPATH组VAS评分和Harris评分均显著优于PLA组，差异均有统计学意义（P<0.05），但末次随访时两组间上述评分的差异均无统计学意义（P>0.05）。末次随访时两组髋臼外翻角差异无统计学意义（P>0.05），但SuperPATH组前倾角显著大于PLA组（P<0.05）。[结论]与PLA入路比较，SuperPATH具有切口小、创伤小、疼痛轻、术后功能恢复快的优点，但手术时间较长。更多还原

【Abstract】 [Objective] To compare the early outcomes of primary total hip arthroplasty(THA) through SuperPATH approach versus posterolateral approach(PLA). [Methods] From July 2018 to December 2020, a total of 88 patients underwent primary THA in our hospital.Of them, 45 patients were undergoing THA through SuperPATH approach, however, 2 cases were changed to PLA intraoperatively, finally43 cases were enrolled in the SuperPATH group, while 43 patients had THA by using PLA approach. The perioperative, follow-up and imaging data were compared between the two groups. [Results] The SuperPATH group was superior to the PLA group in terms of incision length, postoperative drainage, time to return walking and hospital stay(P<0.05), whereas the former was inferior to the latter in intraoperative blood loss and operation time(P<0.05). The SuperPATH group resumed full-weight bearing activity significantly earlier than the PLA group(P<0.05). The SuperPATH group were significantly better than the PLA group in terms of the VAS and Harris scores at 3 months after surgery(P<0.05), whereas which became not statistical significant between the two groups at the latest follow-up(P>0.05). Regarding to radiographic assessment, there was no a significant difference in acetabular inclination between the two groups at the latest follow-up(P>0.05),but the anteversion angle of the SuperPATH group was significantly higher than that of the PLA group(P<0.05). [Conclusion] The SuperPATH has the advantages of smaller incision, less trauma, less pain and faster postoperative functional recovery, whereas longer operation time compared with PLA approach.更多还原