荆安龙，陈滔，邹文（合川区人民医院骨科，重庆401520）

经前外侧入路微创小切口在全髋关节置换术中的应用

荆安龙，陈滔，邹文
（合川区人民医院骨科，重庆401520）

目的探究临床经前外侧做小切口在全髋关节置换术中的应用。方法选取该院2012年6月至2013 年5月收治的68例因股骨颈骨折入院治疗的患者，分为传统组和前外侧组，按入院时间进行分配，各34例。传统组行经后外侧做切口术，前外侧组行经前外侧做小切口进行全髋关节置换术。观察两组出血量、住院时间、手术用时、术后并发症情况及2年后患者生活质量评分。结果前外侧组较传统组出血量、手术用时、住院时间少，差异有统计学意义（P＜0.05）；2年后两组患者的生活质量比较，差异无统计学意义（P＞0.05）；治疗后两组并发症发生率比较，前外侧组为11.8%（4/ 34），传统组高达23.5%（8/34），传统组较前外侧组并发症多，差异有统计学意义（P＜0.05）。结论采用全髋关节置换术采用经前外侧做切口治疗股骨颈骨折患者，患者术后并发症少，术后生活质量高，手术用时短，术后恢复较快，医生可根据患者相关情况选择手术。

股骨颈骨折；外科手术，微创性；关节成形术，置换，髋；髋关节；骨折

【Abstract】Objective To investigate the application of small incision by anterior lateral approach in total hip arthro plasty（THA）.M ethods Sixty-eightinpatients with femoralneck fracture in our hospital during from June 2012 toMay 2013were selected and divided into the traditional group and the anterior lateral group according to the admission time，34 cases in each group.The traditional group adopted the incision by posterior lateralapproach，while the anterior lateral group adopted small incision by anterior lateral approach for conducting THA.The bleeding amount，hospitalization stay，operation time，postoperative complications and quality of life scores after two years were observed in the two groups.Results The bleeding amount，surgical timeand hospitalization in theanterior lateral group were lessthan those in the traditional group with statistical differences（P＜0.05）；the quality of life after 2 years had no statistical difference between the two groups（P＞0.05）；the incidence rate of postoperative complication was 11.8%（4/34）in the anterior lateral group and up to 23.5%（8/34）in the traditional group，the complications in the traditional group were more than those in theanterior lateral group，the difference was statistically significant（P＜0.05）.Conclusion Adopting the anterior lateral incision in THA for treating femoral neck fracture has little postoperative complications，high postoperative living quality，shortoperation time and rapid postoperative recovery.So doctor can select the operationmode according to the patient′scorresponding condition.

【Key words】Femoralneck fractures；Surgical procedures，minimally invasive；Arthroplasty，replacement，hip；Hip joint；Fractures，bone

骨折在各个年龄段均有发生的可能性，青中年多由于人为击打、意外事故、工伤等因素造成，老年人多由于年纪老迈骨质疏松及血管孔在骨颈上区密布，致使股骨颈结构变化以致其脆弱，当受到较大的碰撞等情况时反应不灵敏无法对髋部冲击力进行有效抵消，易出现骨折［1］。……