股内侧肌下入路与绕髌正中入路对于人工膝关节置换术的疗效探讨(1)
[摘要] 目的 分析股内侧肌下入路与绕髌正中入路两种手术方式对于人工膝关节置换术的临床价值。方法 选取2011年3月—2013年1月在该院进行人工膝关节置换的患者68例，根据手术入口的不同，分为两组，分别接受股内侧肌下入路膝关节置换术(观察组)和绕髌正中入路膝关节置换术(对照组)，对观察组和对照组患者的手术切口长度、术中出血量、手术时间、术后可直腿抬高时间、膝关节可屈曲到90°时间和住院时间进行观察。 结果 观察组的手术切口长度、手术中出血量和手术时间均低于对照组的患者，差异有统计学意义(P<0.05)；观察组中的术后可直腿抬高时间、膝关节可屈曲到90°时间和住院时间均少于对照组的患者，差异有统计学意义(P<0.05)。 结论 股内侧肌下入路可以显著提高人工膝关节置换术的手术效果。
[关键词] 人工膝关节置换术；股内侧肌下入路；绕髌正中入路
[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742(2015)01(b)-0008-02
Observation of the Clinical Value of Subvastus Approach and Medial Parapatellar Approach for Total Knee Arthroplasty
WEN Jie LIU Yan HA Si
Department of Orthopaedics， The Third Affiliated Hospital of Inner Mongolia Medical University， Baotou， Inner Mongolia Autonomous Region， 014010， China
[Abstract] Objective To analyze the clinical value of subvastus approach and medial parapatellar approach for total knee arthroplasty. Methods 68 patients underwent total knee arthroplasty in our hospital from March 2011 to January 2013 were selected for this study. The patients were divided into two groups according to the approach of surgery. The patients in the observation group and those in the control group were treated by total knee arthroplasty through subvastus approach， and medial parapatellar approach， respectively. And the incision length， intraoperative blood loss， duration of operation， postoperative time of straight leg raise， time of knee buckling to 90° and hospital stay of the observation group and control group were observed. Results The incision length， intraoperative blood loss and duration of operation were less than those of the control group，the differences were statistically significant(P<0.05)； the postoperative time of straight leg raise， time of knee buckling to 90° and hospital stay in the observation group were shorter than those in the control group，the differences were statistically significant(P<0.05). Conclusion Total knee arthroplasty through subvastus approach can improve the effect of total knee arthroplasty significantly.
[Key words] Total knee arthroplasty； Subvastus approach； Medial parapatellar approach
人工膝关节置换术是临床最为常见的骨科手术之一，膝关节作为人体当中最大的滑膜关节，其周围的组织结构、神经和血管分布较为复杂，同时最为负担人体运动功能最大的关节之一，膝关节疾病对于人体正常运动和生活会造成巨大的影响，近些年来，人工膝关节置换术随着整个骨外科的发展也发生着日新月异的变化，人工膝关节置换手术的成功率和预后都得到相应的提高[1]，但是传统手术入路对于人体造成较大损伤，不利于患者术后恢复以及正常生活。因此手术入路的选择对于人工膝关节置换术的效果具有十分重要的影响，该研究选取2011年3月—2013年1月在该院进行人工膝关节置换的患者68例，用以分析股内侧肌下入路与绕髌正中人路对于人工膝关节置换术的效果影响，现报道如下。
1 资料与方法
1.1 一般资料, http://www.100md.com(温杰 刘岩 哈斯)
[关键词] 人工膝关节置换术；股内侧肌下入路；绕髌正中入路
[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742(2015)01(b)-0008-02
Observation of the Clinical Value of Subvastus Approach and Medial Parapatellar Approach for Total Knee Arthroplasty
WEN Jie LIU Yan HA Si
Department of Orthopaedics， The Third Affiliated Hospital of Inner Mongolia Medical University， Baotou， Inner Mongolia Autonomous Region， 014010， China
[Abstract] Objective To analyze the clinical value of subvastus approach and medial parapatellar approach for total knee arthroplasty. Methods 68 patients underwent total knee arthroplasty in our hospital from March 2011 to January 2013 were selected for this study. The patients were divided into two groups according to the approach of surgery. The patients in the observation group and those in the control group were treated by total knee arthroplasty through subvastus approach， and medial parapatellar approach， respectively. And the incision length， intraoperative blood loss， duration of operation， postoperative time of straight leg raise， time of knee buckling to 90° and hospital stay of the observation group and control group were observed. Results The incision length， intraoperative blood loss and duration of operation were less than those of the control group，the differences were statistically significant(P<0.05)； the postoperative time of straight leg raise， time of knee buckling to 90° and hospital stay in the observation group were shorter than those in the control group，the differences were statistically significant(P<0.05). Conclusion Total knee arthroplasty through subvastus approach can improve the effect of total knee arthroplasty significantly.
[Key words] Total knee arthroplasty； Subvastus approach； Medial parapatellar approach
人工膝关节置换术是临床最为常见的骨科手术之一，膝关节作为人体当中最大的滑膜关节，其周围的组织结构、神经和血管分布较为复杂，同时最为负担人体运动功能最大的关节之一，膝关节疾病对于人体正常运动和生活会造成巨大的影响，近些年来，人工膝关节置换术随着整个骨外科的发展也发生着日新月异的变化，人工膝关节置换手术的成功率和预后都得到相应的提高[1]，但是传统手术入路对于人体造成较大损伤，不利于患者术后恢复以及正常生活。因此手术入路的选择对于人工膝关节置换术的效果具有十分重要的影响，该研究选取2011年3月—2013年1月在该院进行人工膝关节置换的患者68例，用以分析股内侧肌下入路与绕髌正中人路对于人工膝关节置换术的效果影响，现报道如下。
1 资料与方法
1.1 一般资料, http://www.100md.com(温杰 刘岩 哈斯)