生物骨科材料与临床研究2026，Vol.23Issue(4)：12-18,7.DOI:10.3969/j.issn.1672-5972.2026.04.003
SuperPATH技术对全髋关节置换围手术期术后下肢深静脉血栓形成的影响
The effect of SuperPATH total hip arthroplasty on postoperative deep vein thrombosis in the lower limbs during the perioperative period
摘要
Abstract
Objective To investigate the effect of SuperPATH total hip arthroplasty(THA)on the formation of deep vein thrombosis(DVT)in the lower limbs during the perioperative period after surgery.Methods All 189 patients who underwent unilateral total hip arthroplasty at Yulin Orthopedic Hospital of Integrated Chinese and Western Medicine from July 2022 to April 2024 and met the selection criteria were included in the study.According to different surgical approaches,the patients were divided into the observation group(SuperPATH approach,n=90)and the control group(conventional posterior lateral approach,n=99),and the both groups were treated with low molecular weight heparin anticoagulation therapy after surgery.Comparing the coagulation function[activated partial thromboplastin time(APTT),prothrombin time(PT),D-dimer(D-D),platelet count(PLT)]and lower limb venous hemodynamic indicators(mean blood flow velocity,peak blood flow velocity,mean blood flow)and incidence of lower limb DVT formation between the two groups on postoperative days 1,7,and 14.Results ①Compared with the control group,the APTT of patients in the observation group was shortened on postoperative day 1,with a statistically significant difference(P<0.05);APTT was also shortened on days 7 and 14,but the difference was not statistically significant(P>0.05).Compared with the control group,the PT of the observation group was shortened on postoperative day 1,and the difference was statistically significant(P<0.05).The PT was also shortened on postoperative days 7 and 14,but the difference was not statistically significant(P>0.05).The D-D and PLT of the observation group were significantly lower than those of the control group on postoperative days 1,7,and 14(P<0.05).② The average blood flow velocity,peak blood flow velocity,and average blood flow of the femoral vein in the Observation group were significantly higher than those in the control group on postoperative days 1,7,and 14(P<0.05).③ The incidence of lower limb DVT formation in the observation group was 11.11%(10/90)on postoperative days 1,7,and 14,which was lower than the 29.29%(29/99)in the conventional posterior lateral approach control group,and the difference was statistically significant(P<0.05).④ Compared with the control group,the VAS scores of patients in the observation group decreased significantly on postoperative days 1,7,and 14(P<0.05).⑤ Compared with the control group,patients in the observation group began weight-bearing earlier after surgery,with a statistically significant difference(P<0.05).⑥ There was no statistically significant difference in operative time between the observation group and the control group(P>0.05).Conclusion Compared with the conventional posterior lateral approach,the SuperPATH approach of THA is beneficial for improving the coagulation function and lower limb venous hemodynamic indicators of patients during the postoperative perioperative period,and reducing the VAS score during the postoperative perioperative period and conducive to early postoperative weight-bearing,thereby reducing the occurrence of lower limb DVT formation in patients during the postoperative perioperative period.关键词
SuperPATH/全髋关节置换/凝血功能/下肢静脉血流动力学/下肢深静脉血栓形成Key words
SuperPATH/Total hip arthroplasty/Coagulation function/Lower limb venous hemodynamics/Lower extremities deep vein thrombosis分类
医药卫生引用本文复制引用
罗善超,赖英静,钟武,马惠,杨芸,苏先婵,唐继仁..SuperPATH技术对全髋关节置换围手术期术后下肢深静脉血栓形成的影响[J].生物骨科材料与临床研究,2026,23(4):12-18,7.基金项目
玉林市科学研究与技术开发计划项目(玉市科202235011) （玉市科202235011）
