|
|
Application effect of modified Stoppa approach surgery in patients with pelvic acetabular fracture |
WU Chucheng1 PAN Jiarong2 HU Xiaoying1 CHEN Kaining1 |
1. Department of Osteology Surgery, Puning People′s Hospital of Guangdong Province, Puning 515300, China;
2. Department of Infection, Puning People′s Hospital of Guangdong Province, Puning, 515300, China |
|
|
Abstract Objective To explore the application effect of modified Stoppa approach surgery in patients with pelvic acetabular fracture. Methods A total of 50 patients with pelvic and acetabular fractures in Puning People′s Hospital of Guangdong Province from March 2015 to March 2020 were selected as the research objects, and divided into observation group(25 cases)and control group(25 cases)according to the random number table method.The control group was treated by ilioinguinal approach, and the observation group was treated by Stoppa approach. The postoperative effect, total incidence of complications,Harris hip joint function score were compared between the two groups. Results The operation time and postoperative wound healing time of the observation group were shorter than those of the control group, and the amount of intraoperative bleeding was less than that of the control group, with statistically significant differences(P<0.05). The total incidence of complications in the observation group (8.00%) was lower than that in the control group(24.00%), with statistically significant difference (P<0.05). The Harris hip joint function score of the observation group was higher than that of the control group, with statistically significant difference (P<0.05). Conclusion The modified Stoppa approach plays a positive role in the clinical treatment of patients with acetabular and pelvic fractures. It can improve the effect of surgical treatment, reduce the incidence of complications and improve the function of hip joint.
|
|
|
|
|
[1] |
樊仕才,刘涵,黄复铭.髋臼骨折手术入路选择的原则与复位固定技巧[J].中华骨科杂志,2021,41(1):58-66.
|
[2] |
王钢.骨盆骨折的诊治现状与进展[J].中华创伤骨科杂志,2020,22(6):473-474.
|
[3] |
刘圣凯,李岩,毕龙,等.股骨头骨折合并同侧髋臼骨折的手术疗效分析[J].创伤外科杂志,2018,20(11):28-32.
|
[4] |
侯志勇.骨盆,髋臼骨折治疗的创新之路[J].中华创伤杂志,2020,36(11):961-965.
|
[5] |
张英泽.临床创伤骨科流行病学[M].北京:人民卫生出版社,2014:114-121.
|
[6] |
刘宗超,马川,石厚银,等.经皮空心螺钉固定技术治疗垂直旋转不稳定骨盆骨折的疗效评价[J].中国骨与关节损伤杂志,2011,26(8):694-696.
|
[7] |
丛锐军,符培亮,吴宇黎,等.下肢重建方式对CroweⅣ型髋关节发育不良全髋关节置换术后疗效的影响[J].中华骨科杂志,2013,33(3):214-219.
|
[8] |
彭发智.Stoppa 入路与传统手术对不稳定型骨盆骨折合并髋臼骨折患者的应用[J].中国伤残医学,2020,28(9):37-38.
|
[9] |
何旭辉,郑潮顺,郭跃跃,等.经腹直肌外侧入路与髂腹股沟入路手术治疗骨盆髋臼骨折的疗效比较[J].中国骨与关节损伤杂志,2020,35(4):30-32.
|
[10] |
薛飞,贾文超,武剑,等.改良Stoppa 入路内髂坐钢板固定治疗涉及后柱的髋臼骨折[J].中华创伤骨科杂志,2019,21(6):478-483.
|
[11] |
陈小波,舒爱华,王强,等.腰方肌阻滞对髂腹股沟入路骨盆和髋臼骨折手术术后静脉镇痛的影响[J].临床外科杂志,2020,28(11):87-89.
|
[12] |
万磊,梁笃,李保林,等.基于CAD-MR 技术混合现实重建骨盆与髋臼骨折及血管网辅助手术临床研究[J].实用医学杂志,2019,35(7):13-16,21.
|
[13] |
孙建,郝连升,房义辉.不同入路方式对骨盆合并髋臼骨折患者疗效及功能恢复的影响[J].医学综述,2019,11(17):53-55.
|
[14] |
苏达明,赵军华,胡伟.比较经腹直肌外侧入路与改良Stoppa 入路治疗髋臼骨折的临床疗效[J].生物骨科材料与临床研究,2019,15(4):29-31.
|
[15] |
陈康,杨旭,李磊,等.高位髂腹股沟入路与改良Stoppa入路治疗骨盆骨折的疗效比较[J].临床骨科杂志,2018,21(4):492-495.
|
[16] |
孙建,郝连升,房义辉.不同入路方式对骨盆合并髋臼骨折患者疗效及功能恢复的影响[J].医学综述,2019,25(17):3522-3525,3531.
|
[17] |
张欣蔚,程鹏,万趸.髂腹股沟入路与改良Stoppa 入路治疗骨盆合并髋臼骨折疗效及对患者围术期指标,Harris得分和并发症的影响[J].实用医院临床杂志,2020,17(2):202-206.
|
[18] |
许鹏雍,陈俊,班付伟,等.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比较[J].临床和实验医学杂志,2019,18(3):79-82.
|
|
|
|