Hardinge入路人工全髋关节置换术治疗髋关节骨关节病临床分析

孙 帆 赵小林



Hardinge入路人工全髋关节置换术治疗髋关节骨关节病临床分析

孙 帆 赵小林

【摘要】目的 探究Hardinge入路人工全髋关节置换术治疗髋关节骨关节病的临床效果。方法 选择2015年1月～2016年1月来我院就诊的154例髋关节骨关节疾病患者为研究对象，将其分成两组，每组77例，对照组患者行Watson-Jone入路，观察组患者行Hardinge入路。患者均行人工髋关节置换术进行相关治疗。观察患者治疗结局和治疗过程中的相关情况。结果 所有患者手术成功，和对照组相比，观察组患者的相关指标明显较好，组间差异有统计学意义，P＜0.05。对照组患者治疗有效率为67.53 %，观察组为92.21 %，组间差异有统计学意义，P＜0.05。结论 对于行人工全髋关节置换术治疗髋关节骨关节病患者，使用Hardinge入路法能够在短期内取得满意效果。

【关键词】Hardinge 入路；人工全髋关节置换术；髋关节骨关节病

doi∶10.3969/j.issn.1674-9316.2016.09.041

Objective To explore the clinical effect of total hip arthroplasty in the treatment of hip joint disease by Hardinge approach. Methods Chose 154 cases of hip bone and joint disease from January 2015 to January 2016 in our hospital as the research object and divided into two groups，77 cases in each group，the control group was treated with Watson-Jone approach，the observation group was treated with Hardinge approach. All patients were treated with artificial hip replacement. To observe the patient's treatment outcome and treatment process. Results All patients were successfully operated. Compared with the control group，the relevant indicators of the observation group were significantly better，the difference between the groups was statistically significant，P＜0.05. In the control group，the effective rate was 67.53%，the observation group was 92.21%，the difference between the groups was statistically significant，P＜0.05. Conclusion In the treatment of hip osteoarthritis patients with total hip arthroplasty，the Hardinge approach can achieve satisfactory results in a short time.

【Key words】Hardinge approach，Total hip arthroplasty，Hip joint disease

现如今，微创技术已经被广泛应用于临床治疗中［1］，而全髋关节微创置换术也已经成为了当前国内外比较推崇的新型技术，和既往技术相比，这种方式能够在最大程度上减轻患者的痛苦，在最短的时间内恢复关节功能。

1　资料与方法

1.1一般资料

选择2015年1月～2016年1月来我院就诊的154例髋关节骨关节疾病患者为研究对象，经临床诊断和病理实验检查确诊，符合原卫生部颁发的关于髋关节骨关节疾病的临床诊治标准［2］。本实验通过我院伦理委员会审查，同意执行，患者与家属自愿参加实验调查，在此同时签署了知情同意书。

依照就诊顺序，将患者随机平均分成观察组与对照组，每组77例，其中观察组男患者41例，女患者36例，年龄28.7～77.4岁，平均年龄为（51.6±4.7）岁。……