改良Stoppa入路治疗骨盆髋臼骨折的临床疗效分析

目的比较改良Stoppa入路与髂腹股沟入路治疗骨盆髋臼骨折的临床疗效。方法选取我院应用改良Stoppa入路手术治疗的骨盆髋臼骨折患者30例为研究对象(称治疗组),与既往采用髂腹股沟入路手术治疗的30例患者作对比(称对照组)。回顾性对比二组切口长度、手术时间、术中出血量;术后骨折复位情况、并发症及髋关节功能。结果治疗组手术切口长度、手术时间及术中出血量和对照组对比,差异明显(P<0.05);参照Matta评分评价术后骨折复位情况,差异明显(P<0.05),Hariss评分评价末次随访时髋关节功能,二组差异不明显(P>0.05);治疗组并发症发生率为16.7%(5/30),对照组并发症发生率为30.0%(9/30),差异有统计意义(P<0.05)。结论应用改良Stoppa入路治疗骨盆髋臼骨折,具有手术时间短、切口小、术中出血少及术后并发症低等优点,值得临床推广应用。

Analysis of the Clinical Effecacy of Modified Stoppa Approach in the Treatment of Pelvic and Acetabular Fractures

Objective To compare the clinical efficacy of modified Stoppa approach and ilioinguinal approach in the treatment of pelvic and acetabular fractures. Methods Thirty cases of patients with pelvic and acetabular fractures treated by modified Stoppa approach in our hospital were selected as research objects(the treatment group). The treatment results were compared with other 30 patients previously treated by ilioinguinal approach(the control group).A number of indictors including the incision length, operation time and intraoperative blood loss, reduction of postoperative fracture, complications and hip joint function etc were retrospectively compared between the two groups. Results The operative incision length, operative time and intraoperative blood loss in the treatment group were significantly different from those of the control group(P<0.05).According to Matta evaluation criterion, there was significant difference in postoperative fracture reduction(P<0.05), and hip joint function at the last follow-up didn’t show significant difference between the two groups(P>0.05) referring to Hariss evaluation criterion. The incidence of complications was 13.3%(4/30) in the treatment group and 36.7%(11/30) in the control group respectively, the difference is statistically significant(P<0.05).Conclusions The modified Stoppa approach in treating pelvic and acetabular fractures has the advantages of short operation time, small incision, less intraoperative blood loss and low postoperative complications etc, which is worthy of clinical popularization and application.