文献类型：期刊文献

中文题名：人工全髋关节置换术手术入路的应用进展

英文题名：Progress in the application of surgical approaches for total hip arthroplasty

作者：张壮壮[1,2];张福康[1];杨鑫[1];樊华[1];程晴灏[2];郭洪章[2]

第一作者：张壮壮

机构：[1]甘肃中医药大学第一临床医学院,甘肃兰州730000;[2]甘肃省人民医院骨科,甘肃兰州730000

第一机构：甘肃中医药大学临床医学院

年份：2023

卷号：36

期号：12

起止页码：1890

中文期刊名：中国临床研究

外文期刊名：Chinese Journal of Clinical Research

收录：CSTPCD;;Scopus

基金：甘肃省自然科学基金(20JR10RA358)。

语种：中文

中文关键词：髋部疾病;髋关节;全髋关节置换术;传统;微创;Hardinge入路;外侧入路;后外侧入路;SuperPATH入路;直接上方入路

外文关键词：Hip disease;Hip joint;Total hip arthroplasty;Tradition;Minimal invasive;Hardinge approach;Direct lateral approach;Posterolateral approach;SuperPATH approach;Direct superior approach

摘要：随着老年人口的不断增加,髋部疾病的发病率也在不断上升,例如老年髋部脆性骨折、股骨头坏死、终末期髋关节骨性关节炎等,而人工全髋关节置换术(THA)是治疗这类疾病最有效的手段。临床上其手术入路也不尽相同,不同入路对术后患者步态、髋关节稳定性和肌肉功能有重要影响。传统常规手术入路可以提供更加清楚手术视野,显示更加充分,方便术者操作。但微创手术入路损伤少、出血小、术后疼痛较小,促进患者早期下地活动,缩短住院时间。但是微创手术切口在复杂的髋关节疾病方面具有手术操作复杂、暴露困难等不足。目前对于THA最佳手术入路没有达成共识,因此笔者就THA的手术入路进行综述,为其手术入路临床应用提供思路和选择。
With the increase of the elderly population,the incidence rate of hip diseases is also rising,such as brittle fracture of the elderly hip,necrosis of the femoral head,and end-stage hip osteoarthritis.Total hip arthroplasty(THA)is one of the most effective means to treat such diseases.The clinical approach for THA surgery is also different,and different approaches have a significant impact on postoperative gait,hip joint stability,and muscle function of patients.The traditional conventional surgical approach can provide a clearer surgical field of view,more comprehensive display,and facilitate the operation of the surgeon.However,minimally invasive surgery has fewer injuries,less bleeding,and less postoperative pain,which promotes early ground mobility and shortens hospital stay,while minimally invasive surgical incisions have shortcomings such as complex surgical procedures and difficult exposure in complex hip joint diseases.At present,there is no consensus on the optimal surgical approach for THA.Therefore,the author reviews the surgical approaches for THA,providing ideas and choices for the clinical application of surgical approaches.