摘要
目的观察改良Stoppa入路手术治疗骨盆、髋臼骨折的效果以及并发症发生情况。方法研究对象选取我院收治的80例骨盆、髋臼骨折患者,采用随机数字法将其分为对照组(40例)和观察组(40例)。对照组患者行髂腹股沟入路手术治疗,观察组患者行改良Stoppa入路手术治疗。比较两组患者的手术效果及并发症发生率。结果治疗后,观察组的手术时间短于对照组,术中出血量少于对照组,手术创口小于对照组(P<0.05);观察组术后骨折复位优良率明显高于对照组(P=0.00),术后并发症总发生率明显低于对照组(P=0.02)。结论改良Stoppa入路手术治疗骨盆、髋臼骨折患者效果良好,术后并发症发生率低,骨折复位优良率高,建议临床广泛应用。
Objective To observe the effect of modified Stoppa approach in pelvic and acetabular fractures and the complications. Methods Eighty patients with pelvic and acetabular fractures treated in our hospital were selected and divided into control group(40 cases) and observation group(40 cases) by random number method. The patients in the control group underwent surgical treatment of the iliac groin approach, the patients in the observation group underwent surgical treatment of modified Stoppa approach. The operative effects and the incidence of complications were compared between the two groups. Results After operation, compared with the control group, the operation time in the observation group was shorter,the intraoperative blood loss was less, the size of the wound was smaller(P〈0.05). The excellent and good rate of fracture reduction in the observation group was significantly higher than that in the control group(P=0.00), and the total incidence of postoperative complications was significantly lower than that in the control group(P =0.02). Conclusion Modified Stoppa approach in pelvic and acetabular fractures has good intraoperative effect, with low incidence of complications and high excellent and good rate of fracture reduction. It is recommended to be widely used clinically.
作者
刘一海
董辉辉
韩健
殷振华
LIU Yi-hai;DONG Hui-hui;HAN Jian;YIN Zhen-hua(No.1 Orthopaedics Department, the First People's Hospital of Xianyang City, Xianyang 712000, China)
出处
《临床医学研究与实践》
2018年第14期46-47,共2页
Clinical Research and Practice