文章摘要
刘雷,方诗元,王叙进,徐磊,杨家赵,王昊.腹直肌旁入路与改良Stoppa入路治疗髋臼骨折的临床比较[J].中国临床保健杂志,2019,22(6):824-827.
腹直肌旁入路与改良Stoppa入路治疗髋臼骨折的临床比较
Clinical comparison of the treatment of acetabular fractures with the approach of the rectus abdominis and the improved Stoppa approach
投稿时间:2019-05-17  
DOI:10.3969/J.issn.1672-6790.2019.06.027
中文关键词: 髋骨折  骨折固定术,内  腹直肌  耻骨联合  外科手术  治疗结果
英文关键词: Hip fractures  Fracture fixation,internal  Rectus abdominis  Pubic symphysis  Surgical procedures,operative  Treatment outcome 〖FL
基金项目:安徽省公益性技术应用研究联动计划项目(1401045022)
作者单位E-mail
刘雷 [中国科学技术大学附属第一医院安徽省立医院创伤骨科,合肥 230001] 403016646@qq.com 
方诗元 [中国科学技术大学附属第一医院安徽省立医院创伤骨科,合肥 230001] fangshiyuan2008@126.com 
王叙进 [中国科学技术大学附属第一医院安徽省立医院创伤骨科,合肥 230001]  
徐磊 [中国科学技术大学附属第一医院安徽省立医院创伤骨科,合肥 230001]  
杨家赵 [中国科学技术大学附属第一医院安徽省立医院创伤骨科,合肥 230001]  
王昊 [中国科学技术大学附属第一医院安徽省立医院创伤骨科,合肥 230001]  
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中文摘要:
      目的 比较腹直肌旁入路与改良Stoppa入路治疗髋臼骨折临床疗效。方法 收集髋臼骨折患者33例病历资料,根据其手术方式不同将其分为试验组(腹直肌旁入路)与对照组(改良Stoppa入路),其中试验组17例,对照组16例,比较两组一般资料、手术时间,出血量,术后并发症以及住院时间,使用Matta评分评价术后骨折复位情况。结果 两组患者骨折复位满意度、平均住院时间,术后并发症发生率以及患侧髋关节Harris评分差异无统计学意义(P>0.05),经腹直肌旁入路手术切口,手术时间,出血量均小于改良Stoppa入路组,差异有统计学意义(P<0.05)。结论 腹直肌旁入路较改良Stoppa入路治疗需行前路固定的髋臼骨折创伤较小,可作为髋臼骨折治疗的一种新的方式。
英文摘要:
      Objective To compare the clinical effects of rectus abdominis approach and modified Stoppa approach in the treatment of acetabular fractures.Methods A total of 33 medical records of patients with acetabular fractures were collected.The patients were divided into experimental groups according to their surgical methods.Experimental group (Muscular approach) and control group (modified Stoppa approach),including 17 patients in the experimental group and 16 patients in the control group.The general data,operation time,blood loss,postoperative complications,and hospitalization time were compared between the two groups.Postoperative fracture reduction.Results There were no significant differences in fracture reduction satisfaction,mean hospitalization time,postoperative complication rate,and hip score of the hip in the two groups (P>0.05).Incision through the rectus abdominis approach,operation time.The amount of bleeding was smaller than that of the modified Stoppa approach group,and the difference was statistically significant(P<0.05).Conclusion The rectus abdominis approach is better than the modified Stoppa approach.The acetabular fractures with anterior fixation is little traumatic and can be used as a new treatment for acetabular fractures.
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