摘要
目的:分析骨盆骨折患者采用腹直肌旁入路治疗的临床效果.方法:选取我院60例骨盆骨折患者,分为观察组(30例,选择腹直肌旁入路进行手术)和对照组(30例,选择改良Stoppa入路进行手术),对比2组患者的临床疗效.结果:观察组患者术中出血量少于对照组,手术时间及住院时间均短于对照组.观察组患者术后出现下肢静脉血栓、感染、腹部皮下脂肪液化等并发症发生率13.3%,显著低于对照组53.3%.观察组患者骨折复位优良率86.7%,显著高于对照组66.7%.差异均有统计学意义(P<0.05).结论:骨盆骨折患者采用腹直肌旁入路手术的效果良好,手术时间短,且术后并发症发生率低,骨折复位良好,是一种理想的手术入路方式.
Objective: To analyzed the clinical effects treatment of pelvic fracture patients with rectus abdominis approach. Methods: Sixty patients with pelvic fractures in our hospital were enrolled. The patients were divided into the experimental group (30 cases, the operation of the rectus abdominis approach) and the control group (30 cases, the modified Stoppa approach was selected for surgery). The clinical efficacy of the two groups was compared. Results: The intraoperative blood loss of the experimental group was less than that of the control group, and the operation time and hospitalization time were shorter than the control group. The incidence of complication of lower extremity venous thrombosis, infection, abdominal subcutaneous fat liquefaction (13. 3%) was significantly lower in the experimental group than in the control group (53. 3%). The excellent rate of fracture reduction in the experimental group was 86. 7%, which was significantly higher than that in the control group (66.7%). The differences were statistically significant (P <0. 05). Conclusion: Patients with pelvic fractures have a good effect on the treatment of the rectus abdominis approach, which is an ideal surgical approach.
出处
《中国伤残医学》
2019年第9期1-2,共2页
Chinese Journal of Trauma and Disability Medicine
