doi:10．3969/j．issn．1008-0287．2023．03．013·临床论著·改良标准后外侧入路人工股骨头置换治疗老年股骨颈骨折杨纬，张维义，马才英摘要:目的探讨改良标准后外侧入路(SuperPATH入路)人工股骨头置换治疗老年股骨颈骨折的临床疗效。方法按照手术入路不同将46例老年股骨颈骨折患者分为A组(采用SuperPATH入路人工股骨头置换治疗)和B组(采用后外侧常规入路人工股骨头置换治疗)，每组23例。记录两组手术情况，术后1、7d及1个月采用疼痛VAS评分评估疼痛改善情况，术后6周、末次随访时采用髋关节Harris评分评价髋关节功能。结果患者均获得随访，时间10～16个月。切口长度、手术时间、术中出血量、术后下地时间A组均短(少)于B组(P＜0.05)。术后1、7d疼痛VAS评分和术后6周髋关节Harris评分A组均优于B组(P＜0.05);术后1个月疼痛VAS评分及末次随访髋关节Harris评分两组比较差异均无统计学意义(P＞0.05)。末次随访时，未发生假体松动、失败、翻修等情况;患者均可扶拐负重行走，患侧髋关节功能正常，X线片显示假体位置均正常。结论SuperPATH入路人工股骨头置换治疗老年股骨颈骨折具有手术切口小、损伤小、出血少以及患者术后下地时间早等优点，早期疗效优于后外侧入路。关键词:改良标准后外侧入路;股骨头置换术;股骨颈骨折;老年人中图分类号:Ｒ683.42;Ｒ687.3文献标识码:A文章编号:1008－0287(2023)03－0342－04TheSuperPATHapproachartificialfemoralheadreplacementinthetreatmentofelderlyfemoralneckfractureYANGWei，ZHANGWei-yi，MACai-ying(DeptofOrthopaedics，theThirdPeople'sHospitalofGansuProvince，Lanzhou，Gansu730020，China)Abstract:ObjectiveToinvestigatetheclinicalefficacyoftheSuperPATHapproachartificialfemoralheadreplace-mentinthetreatmentofelderlyfemoralneckfracture．MethodsThe46elderlypatientswithfemoralneckfracturesweretreatedbyartificialfemoralheadreplacement，whoweredividedintogroupA(usingSuperPATHapproach)andgroupB(usingconventionalposterolateralapproach)，accordingtothetreatmentmethods，with23casesineachgroup．Thesurgerysituationwasrecorded．ThepainVASwasusedtoevaluatethepainimprovementsituationat1，7dand1monthpostoperatively．Atpostoperative6weeksandthelastfollow-up，thehipfunctionwasassessedwithHarrisscoreofthehipjoint．ＲesultsBothgroupswerefollowedupfor10～16mont...
