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中华关节外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (06) : 651 -659. doi: 10.3877/cma.j.issn.1674-134X.2021.06.001

所属专题: 指南共识

指南与应用

中国髋关节置换入路选择临床实践指南(2021年版)
中华医学会骨科学分会关节外科学组, 云南省创伤骨科临床医学中心(解放军联勤保障部队第九二〇医院)   
  • 收稿日期:2021-11-30 出版日期:2021-12-01
  • 基金资助:
    云南省卫生健康委员会中心建设重大项目(ZX20191001); 云南省重大科技专项计划(2018ZF008,202102AA310001); 国家自然科学基金(81802204,81973606); 广东省自然科学基金项目(2021A1515012424)

Chinese clinical practice guidelines for total hip arthroplasty approach selection (2021 edition)

The Joint Surgery Branch of the Chinese Orthopaedic Association, 920th Hospital of Joint Logistics Support Force of Chinese People′s Liberation Army   

  • Received:2021-11-30 Published:2021-12-01
引用本文:

中华医学会骨科学分会关节外科学组, 云南省创伤骨科临床医学中心(解放军联勤保障部队第九二〇医院). 中国髋关节置换入路选择临床实践指南(2021年版)[J]. 中华关节外科杂志(电子版), 2021, 15(06): 651-659.

The Joint Surgery Branch of the Chinese Orthopaedic Association, 920th Hospital of Joint Logistics Support Force of Chinese People′s Liberation Army. Chinese clinical practice guidelines for total hip arthroplasty approach selection (2021 edition)[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(06): 651-659.

全髋关节置换术(THA)在缓解终末期髋部相关疾病疼痛和恢复肢体功能方面发挥着重要作用,THA手术量呈持续高增长态势。然而国内外尚无关于THA入路选择的诊疗指南或专家共识。因此制定基于循证医学证据的THA入路选择临床实践指南具有重要意义。指南制定由中华医学会骨科学分会关节外科学组和中华关节外科杂志(电子版)发起,设计与制订遵循《世界卫生组织指南制订手册》和"制订/修订<临床诊疗指南>的基本方法及程序",根据推荐意见分级的评估、制订及评价(GRADE)分级体系和国际实践指南报告标准(RIGHT)指南评价工具遴选出11个临床问题,最终形成11条循证医学推荐意见,旨在指导广大相关医务工作者针对手术入路选择的临床实践,共同为THA患者的良好预后提供规范性指引。

Total hip arthroplasty (THA) is a major procedure that plays an important role in relieving pain and restoring function in end-stage hip related diseases, and the number of THA procedures continues to grow at a high rate. Unfortunately, there is no guideline or expert consensus on the choice of THA approach in China or abroad. Therefore, to formulate the clinical practice guidelines for THA approach selection based on evidence-based medicine is of major importance. The guidelines were developed by the Joint Surgery Group of the Orthopaedic Branch of the Chinese Medical Association and Chinese Journal of Joint Surgery (Electronic Edition) and were designed and developed in accordance with the World Health Organization Manual for the Development of Guidelines and the Basic Methods and Procedures for the Development/Revision of Clinical Guidelines. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach and the Reporting Items for Practice Guidelines in Healthcare (RIGHT) checklist were adopted. Finally, 11 clinical questions were selected, resulting in 11 evidence-based medical recommendations. The guidelines are intended to guide the clinical practice of a wide range of relevant healthcare professionals in relation to surgical approach selection and to normative guidelines for a good prognosis for patients with THA.

表1 本指南中涉及的证据质量分级与定义
表2 本指南中涉及的推荐强度分级与定义
表3 推荐意见汇总
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