中国医学创新2024，Vol.21Issue(29)：105-110,6.DOI:10.3969/j.issn.1674-4985.2024.29.024
SuperPATH入路结合ERAS用于全髋关节置换术的疗效观察
Observation on the Functional Efficacy of SuperPATH Approach Combined with ERAS in Total Hip Arthroplasty
摘要
Abstract
Objective:To explore the functional efficacy of SuperPATH approach combined with enhanced recovery after surgery(ERAS)in total hip arthroplasty(THA).Method:Clinical data of patients with hip joint disease who underwent THA in Department of Orthopedics,Pingxiang Maternity and Child Care from January 2019 to December 2022 were retrospectively analyzed.According to different surgical methods,the patients were divided into postlateral approach group(received postlateral approach THA combined with ERAS)and SuperPATH group(received SuperPATH approach THA combined with ERAS),with 44 cases in each group.Perioperative indicators(surgical blood loss,the time of getting out of bed,complications),pain degree[visual analogue scale(VAS)],muscle thickness of hip joint muscle group,hip function[Harris hip function score,Berg balance scale(BBS)],quality of life[short form 36(SF-36)]and satisfaction[Newcastle satisfaction with nursing scales(NSNS)]were compared between the two groups.Result:The surgical blood loss in SuperPATH group was less than that in postlateral approach group,the time of getting out of bed was earlier than that in postlateral approach group,and the incidence of complications was lower than that in postlateral approach group,the differences were statistically significant(P<0.05).1,2 and 3 d after surgery,the VAS scores of the two groups showed a decreasing trend,and the VAS scores of the SuperPATH group were lower than those of the postlateral approach group,the differences were statistically significant(P<0.05).8 weeks after surgery,the thickness of vastus intermedius,rectus femoris,vastus lateralis and tensor fasciae latae were decreased in both groups,but the thickness of vastus intermedius,rectus femoris,vastus lateralis and tensor fasciae latae in SuperPATH group were higher than those in postlateral approach group(P<0.05).8 weeks after surgery,Harris hip function scores,BBS scores and SF-36 scores of both groups were increased,and those in the SuperPATH group were higher than those in the postlateral approach group,the differences were statistically significant(P<0.05).The total satisfaction of SuperPATH group was higher than that of postlateral approach group,the difference was statistically significant(P<0.05).Conclusion:Compared with the posterolateral approach,SuperPATH approach combined with ERAS in THA has less surgical trauma,less postoperative pain,and can better retention of hip joint muscles,promote the recovery of function of hip joint,with high patient satisfaction.关键词
SuperPATH入路/全髋关节置换术/快速康复外科/满意度Key words
SuperPATH approach/Total hip arthroplasty/Enhanced recovery after surgery/Satisfaction引用本文复制引用
李康,熊国辉,陈增庆..SuperPATH入路结合ERAS用于全髋关节置换术的疗效观察[J].中国医学创新,2024,21(29):105-110,6.基金项目
萍乡市科技计划项目(2022PY159) （2022PY159）
