改良Stoppa切口入路治疗骨盆髋臼骨折的效果及对髋关节功能的影响

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Abstract Objective To investigate the clinical effect of modified Stoppa incision approach treating pelvic acetabular fractures and its effect on hip joint function.Methods A total of 68 patients with pelvic acetabular fractures from May 2017 to May 2019 in department of orthopaedics of our hospital were selected as the subjects.The patients were divided into experimental group(n=38)and control group(n=30)according to the patients′wishes.Patients in the control group were treated via sacral inguinal approach,and patients in the experimental group were treated with modified Stoppa incision approach.The clinical effects and hip function of the two groups were compared.Results The operation time,length of operative incision and hospital stay in the experimental group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the differences were statistically significant(P＜0.05).The hip function scores of both groups at discharge and 1 month after discharge were higher than those before operation,with statistical significances (P＜0.05).There were no significant differences in the hip function scores between the two groups before,at discharge and 1 month after discharge (P＞0.05).The scores of quality of life scale (SF-36) in the experimental group were higher than those of the control group 1 month after discharge,the differences were statistically significant (P＜0.05).Conclusion The modified Stoppa incision approach and the iliac groin approach are both effective in the treatment of pelvic acetabular fractures.However,the modified Stoppa incision approach has the advantages of shorter operation time,less trauma and less intraoperative bleeding,which is in line with the minimally invasive concept of modern medicine.

Key words： Modified Stoppa incision approach Pelvic acetabulum Fracture Hip function

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	Articles by authors
	HUANG Ji-jia
	CHEN Ge-hai
	LU Xiao-yan
	HUANG Wei-zhen
	CHEN Chu-ming

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HUANG Ji-jia,CHEN Ge-hai,LU Xiao-yan, et al. Effect of modified Stoppa incision approach treating pelvic acetabular fracture and its effect on hip joint function[J]. 中国当代医药, 2020, 27(5): 92-94.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I5/92

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