[1]何军利,杨晓雷.SuperPATH微创入路全髋关节置换术对合并股骨颈骨折患者疗效及疼痛介质的影响[J].医学信息,2026,39(04):153-157.[doi:10.3969/j.issn.1006-1959.2026.04.028]
　HE Junli,YANG Xiaolei.Effect of Total Hip Arthroplasty with Minimally Invasive SuperPATH Approach on the Efficacyand Pain Mediators of Patients with Concomitant Femoral Neck Fractures[J].Journal of Medical Information,2026,39(04):153-157.[doi:10.3969/j.issn.1006-1959.2026.04.028]
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SuperPATH微创入路全髋关节置换术对合并股骨颈骨折患者疗效及疼痛介质的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年04期
页码:
153-157
栏目:
临床证据信息
出版日期:
2026-02-15

文章信息/Info

Title:
Effect of Total Hip Arthroplasty with Minimally Invasive SuperPATH Approach on the Efficacyand Pain Mediators of Patients with Concomitant Femoral Neck Fractures
文章编号:
1006-1959（2026）04-0153-05
作者:
何军利; 杨晓雷
西安市北方医院骨一科，陕西 西安 710032
Author(s):
HE Junli;  YANG Xiaolei
The First Department of Orthopedics, Xi′an North Hospital, Xi′an 710032, Shaanxi, China
关键词:
SuperPATH微创入路; 全髋关节置换术; 股骨颈骨折; 疼痛介质
Keywords:
Minimally invasive SuperPATH approach;  Total hip arthroplasty;  Femoral neck fracture;  Pain mediators
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2026.04.028
文献标志码:
A
摘要:
目的 探究SuperPATH微创入路全髋关节置换术（THA）对合并股骨颈骨折（FNF）患者疗效及疼痛介质的影响。方法 选取2020年1月-2024年1月于西安市北方医院就诊的86例FNF患者作为研究对象，按随机数字表法将其分为对照组和观察组，每组43例。对照组接受常规后外侧入路THA治疗，观察组接受SuperPATH微创入路THA治疗，比较两组手术相关指标、髋关节功能及平衡功能、疼痛介质指标、生活质量。结果 与对照组比较，观察组切口长度更短，术中失血量更少（P＜0.05）；与对照组比较，观察组HHS评分及BBS评分均更高（P＜0.05）；与对照组比较，观察组血清5-HT水平及血清PGE2水平均更低（P＜0.05）；与对照组比较，观察组心理健康、躯体疼痛、社交功能、总体健康评分均更高（P＜0.05）。结论 采用SuperPATH微创入路THA治疗FNF患者手术切口长度及术中失血量更小，髋关节功能和平衡功能恢复情况更好，血清5-HT及PGE2水平更低，生活质量更好。
Abstract:
Objective To investigate the therapeutic effect and pain mediators of total hip arthroplasty(THA) with minimally invasive SuperPATH approach on patients with concomitant femoral neck fractures (FNF). Methods From January 2020 to January 2024, 86 patients with FNF who were treated in Xi′an North Hospital were selected as the research objects. According to the random number table method, those patients were classified into control group and observation group, with 43 patients per group. The control group was treated with THA with conventional posterolateral approach, and the observation group was treated with THA with minimally invasive SuperPATH approach. The operation related indexes, hip joint function and balance function, pain medium indexes and quality of life were compared between the two groups. Results Compared with the control group, the incision length of the observation group was shorter, and the blood loss during operation was less (P<0.05). Compared with the control group, the HHS score and BBS score of the observation group were higher (P<0.05). Compared with the control group, the levels of serum 5-HT and serum PGE2 in the observation group were lower (P<0.05). Compared with the control group, the scores of mental health, physical pain, social function and overall health in the observation group were higher (P<0.05). Conclusion For patients with FNF, THA with minimally invasive SuperPATH approach have smaller incision length and intraoperative blood loss, better recovery of hip joint function and balance function, lower serum 5-HT and PGE2 levels, and better quality of life.

参考文献/References:

[1]刘蓬然,张亚鑫,孙斌磊,等.老年股骨颈骨折的危险因素[J].中南大学学报(医学版),2021,46(3):272-277.[2]何智勇,李开南,彭超,等.布托啡诺对高龄股骨颈骨折患者THR术后Ramsay镇静评分及血清疼痛介质影响研究[J].中国急救复苏与灾害医学杂志,2021,16(9):1043-1046,1056.[3]Page BJ,Parsons MS,Lee JH,et al.Surgical Approach and Dislocation Risk After Hemiarthroplasty in Geriatric Patients With Femoral Neck Fracture With and Without Cognitive Impairments-Does Cognitive Impairment Influence Dislocation Risk?[J].J Orthop Trauma,2023,37(9):450-455.[4]杜斌,陈本华.人工全髋关节置换术和股骨头置换术治疗老年股骨颈骨折的疗效及并发症观察[J].贵州医药,2023,47(1):81-82.[5]Cecere AB,De Cicco A,Bruno G,et al.SuperPath approach is a recommendable option in frail patients with femoral neck fractures: a case-control study[J].Arch Orthop Trauma Surg,2022,142(11):3265-3270.[6]朱晓龙,宋修刚,李磊,等.SuperPATH微创全髋关节置换术治疗老年股骨颈骨折的短期疗效观察[J].蚌埠医学院学报,2019,44(12):1656-1659.[7]中华医学会骨科学分会创伤骨科学组,中国医师协会骨科医师分会创伤专家工作委员会.成人股骨颈骨折诊治指南[J].中华创伤骨科杂志,2018,20(11):921-928.[8]Bastard C.Femoral neck fractur[J].Rev Prat,2019,69(10):1124-1128.[9]郭瑞峰,郑稼.微创前外侧入路下全髋置换术对股骨颈骨折患者骨代谢指标及髋关节功能的影响[J].中国骨伤,2019,32(12):1117-1122.[10]刘宇,顾三军,徐耀增,等.SuperPATH入路微创髋关节置换治疗老年性股骨颈骨折术中并发症的原因分析及策略[J].中国临床解剖学杂志,2023,41(4):465-469.[11]Hagio K,Aikawa K.Minimally invasive surgery supercapsular percutaneously-assisted total hip (SuperPath) arthroplasty[J].Acta Biomed,2023,94(3):e2023069.[12]张兴,徐中华,谢华,等.高龄股骨颈骨折行SuperPATH入路髋关节置换的短期随访[J].中国组织工程研究,2019,23(36):5777-5781.[13]吴克,李宝军,柴志勇,等.SuperPATH微创人工全髋关节置换的早期疗效及临床应用价值[J].实用骨科杂志,2020,26(2):108-112,147.[14]胡正霞,兰海,员晋,等.SuperPATH与传统后外侧入路全髋关节置换治疗老年股骨颈骨折的对比[J].中国组织工程研究,2020,24(24):3834-3839.[15]孙茂淋,何锐,张颖,等.SuperPATH入路微创全髋关节置换术与加速康复[J].中华骨与关节外科杂志,2019,12(4):316-320.[16]胡彬,刘亚伟,谢兴文,等.SuperPATH入路微创全髋关节置换术治疗老年移位股骨颈骨折短期疗效评价[J].中国骨与关节损伤杂志,2020,35(12):1233-1236.[17]李广,彭江,阳春华.Super Path全髋关节置换术治疗股骨颈骨折的短期临床疗效评价[J].湖南师范大学学报(医学版),2019,16(3):66-70.[18]刘璇,胡正霞,王晓东,等.SuperPATH微创全髋关节置换术治疗老年股骨颈骨折的学习曲线研究与临床应用价值分析[J].中华老年骨科与康复电子杂志,2023,9(2):73-80.[19]汤月平,顾梅.直接前入路与微创SuperPath入路对创伤性股骨颈骨折病人行全髋关节置换术的疗效[J].临床外科杂志,2022,30(3):272-275..[20]吴海波,肖育志.微创SuperPath入路人工股骨头置换术治疗老年股骨颈骨折患者的短期随访研究[J].中国医师杂志,2019,21(8):1256-1259.

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更新日期/Last Update: 1900-01-01