前外侧与后外侧入路对髋关节置换术后康复的影响
Effect of the anterolateral and posterolateral approaches in hip replacement surgery on the postoperative recovery
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摘要: 目的：探讨髋关节置换术前外侧手术入路与后外侧手术入路对康复治疗的影响。方法：将骨科行髋关节置换术的60例患者按入院顺序分为前外侧组和后外侧组，各30例；2组分别给予治疗前后评定和综合康复训练，观察2组患者置换术前和置换术后康复治疗第3天、第10天的日常生活活动能力、疼痛视觉模拟评分（VAS）及周径测量变化。结果：2组患者置换术后康复治疗第3天和第10天ADL差异均有统计学意义（P < 0.01），2组患者置换术后康复治疗第3天VAS评分差异均有统计学意义（P < 0.01），2组患者置换术后康复治疗第3天和第10天周径测量差异均无统计学意义（P > 0.05）。结论：不同手术入路对髋关节置换术后患者日常生活活动能力影响不大，但前外侧组疼痛与肿胀较后外侧组改善时间缩短。Abstract: Objective: To investigate the effects of the anterolateral and posterolateral approaches in hip replacement surgery on the postoperative recovery.Methods: Sixty patients treated with hip replacement surgery were randomly divided into the anterolateral group and posterolateral group(30 cases each group).The assessment before and after treatment,and comprehensive recovery training in two groups were implemented.The ability of daily movement,VAS score and perimeter measurement in two groups were observed before and after hip replacement surgery,and after 3 and 10 days of rehabilitation treatment.Results: The differences of the activities of daily living(ADL) between two groups treated with hip replacement surgery after 3 and 10 days of rehabilitation treatment were statistically significant(P < 0.01).The difference of the VAS score between two groups treated with hip replacement surgery after 3 days of rehabilitation treatment was statistically significant(P < 0.01).The differences of the circumference measurement between two groups treated with hip replacement surgery after 3 and 10 days of rehabilitation treatment were not statistically significant(P > 0.01).Conclusions: The effect of different surgery approaches on the ability of daily movement of postoperative patients treated with hip replacement surgery is small.Compared with the posterolateral group,the improvement time of the pain and swelling in anterolateral group after surgery shorten significantly.
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Key words:
- hip joint replacement /
- surgery approach /
- recovery
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