摘要
目的通过比较改良Stoppa切口入路与腹直肌外侧入路治疗骨盆髋臼骨折的临床疗效,探寻一种有效的手术入路方式。方法前瞻性纳入百色市人民医院骨外科的80例骨盆髋臼骨折患者,按照随机数字表法分为对照组与观察组,各为40例。分别采用改良Stoppa切口入路与腹直肌外侧入路治疗。z比较两组患者髋关节功能评价优良率、复位质量状况、手术显露时间、术中出血量及术后髋关节功能评分。结果 (1)观察组患者髋关节功能评价优良率为85. 00%(34/40),稍高于对照组的80. 00%(32/40),但差异无统计学意义(P> 0. 05);(2)观察组患者解剖复位及满意度分别为45. 00%(18/40)及45. 00%(18/40),对照组患者解剖复位及满意度分别为40. 00%(16/40)及42. 50%(17/40),两组患者解剖复位及满意度差异均无统计学意义(P> 0. 05);(3)观察组手术显露时间、术中出血量及髋关节功能评分分别为(17. 02±3. 45) min、(668. 29±55. 45) ml及(17. 08±2. 53)分,对照组分别为(16. 78±3. 32) min、(679. 39±57. 37) m L及(17. 25±2. 68)分,上述3个指标差异均无统计学意义(P> 0. 05)。结论经改良Stoppa切口入路与经腹直肌外侧切口手术处理骨盆髋臼骨折的临床效果无显著性差异,但是相比于改良Stoppa切口入路而言,经腹直肌外侧入路在处理移位程度较大的骨盆骨折以及显露等方面具有更大的优势,且不会受限于膀胱损伤等病变。
Objective To improve the clinical effect of modified Stoppa incision approach and lateral rectus abdominis approach in the treatment of pelvic acetabular fractures,and to explore an effective surgical approach.Methods Eighty patients with acetabular fractures were divided into control group and observation group according to the random number table method.Respectively,using modified Stoppa incision approach and the treatment of lateral rectus abdominis.The rate of excellent hip function,the quality of the reduction,the time of surgery,the amount of intraoperative blood loss and the postoperative hip function score were compared between the two groups.Results ①The excellent and good rate of hip function was 85.00%(34/40)in the observation group,slightly higher than the control group 80.00%(32/40)(P >0.05).②The anatomical reduction and satisfaction of the observation group were(18/40)and 45.00%(18/40)respectively.The anatomical reduction and satisfaction of the patients in the control group were 40.00%(16/40)and 42.50%(17/40)respectively.The anatomical reduction and satisfaction of the two groups were(P<0.05).③The operative time,intraoperative blood loss and hip function score were(17.02±3.45)min,(668.29±55.45)mL and(17.08±2.53)(16.78±3.32)min,(679.39 ± 57.37)ml and(17.25±2.68)respectively.There was no significant difference between the three indexes(P >0.05).Conclusion There was no significant difference in the clinical effect of modified Stoppa incision approach and transhepatic rectus lateral incision in the treatment of pelvic acetabular fractures,but compared with the modified Stoppa incision approach,Large degree of displacement of the pelvic fracture and exposure and other aspects of a better advantage,and will not be limited by bladder injury and other lesions.
作者
许鹏雍
陈俊
班付伟
梁广权
黄刚
黄金实
梁善校
廖正文
李辉
XU Peng-yong;CHEN Jun;BAN Fu-wei(Department of Trauma and Orthopaedics,Baise People's Hospital,Guangxi Zhuang Autonomous Region,Baise Guangxi 533000,China)
出处
《临床和实验医学杂志》
2019年第3期299-302,共4页
Journal of Clinical and Experimental Medicine
关键词
骨盆髋臼骨折
改良Stoppa切口入路
腹直肌外侧入路
髋关节功能评分
Pelvic acetabular fractures
Modified Stoppa incision approach
Lateral rectus abdominis lateral approach
Hip function score
