小儿髋部手术架在发育性髋关节脱位手术中的临床应用

摘要

Objective To analyze the clinical effectiveness of application of a self-developed hip ifxator in surgeries for children with DDH (Developmental Dislocation of the Hip). Methods Altogether 65 children patients with DDH were randomly selected and divided into two groups: 33 cases in Experimental Group for whom hip ifxators were used during surgeries to keep the pelvis leaning; 32 cases in Control Group for whom soft cushions were used to keep the pelvis leaning. Comparisons were made between two groups in the multiple aspects including patients positioning for the surgeries, surgical time, intra-operative blood loss and postoperative drainage. Results Experimental Group had demonstrated clinical superiorities in obviously less surgical time (P<0.05), intra-operative blood loss (P<0.05) and postoperative drainage (P<0.05) over Control Group. Conclusion Application of the hip ifxator in surgeries for children with DDH can satisfy the surgical and nursing requirements, contribute to less operation time, intra-operative blood loss and postoperative drainage and prevent the occurrence of complications.%目的：分析自主研制的小儿髋部手术架在发育性髋关节脱位手术中的临床应用价值。方法选取65例发育性髋关节脱位患儿，随机分为治疗组（33例）和对照组（32例）。治疗组使用小儿髋部手术架维持骨盆倾斜位置，对照组使用软垫填充术侧维持骨盆倾斜位置，对两组是否满足手术体位要求、手术时间、术中出血量和术后引流量进行对比。结果治疗组相对于对照组更能满足手术体位要求。治疗组手术时间明显短于对照组（P＜0.05），术中出血量和术后引流量明显少于对照组（P＜0.05）。结论小儿髋部手术架应用于发育性髋关节脱位手术，可有效满足手术体位和护理要求，能有效缩短手术时间，减少术中出血量和术后引流量，预防并发症的发生。