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八旬偏瘫老人摔坏股骨 手术第二天下地走路了

2017-08-10 08:07:04   中国青年网

张大爷今年85岁,患过多次脑梗,偏瘫也有10多年了。近日在家活动时不小心摔倒,造成股骨颈骨折。张大爷很沮丧:“这回完了,再也站不起来了。”家人将张大爷送到沈阳医学院附属中心医院。关节外科的医生们为其进行了大胆尝试:用微创的术式进行人工关节置换。

昨日,记者采访到沈阳医学院附属中心医院关节外科副主任张斌,“由于患者年龄较大,又有偏瘫,而这次骨折的又是偏瘫的这条腿,因偏瘫肌力差,如用传统的手术方式,通过后方入路行人工关节置换,容易再次发生脱位。”医生们决定通过微创方式,采用前路行人工关节置换手术(DAA),因为这种手术切口比传统切口缩小了一半,沿肌肉间隙进入,不破坏任何组织,手术时间短,患者术后就能快速恢复。而且这种手术还具有术后关节特别稳定的优点,再脱位率几乎为零。手术后的第一天,85岁的张大爷就可以下地,第二天就能在医院走廊简单活动了。

据记者了解,目前,髋关节置换微创技术在欧美等国家是主流的手术方式。此种手术方式在沈医中心医院是首次开展并获得成功。沈阳晚报、沈报融媒记者 王禹哲

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