改良前入路髂腹股沟切口手术治疗骨盆及髋臼骨折的临床效果

Abstract
Figure/Table
References (15)
Related Citation (11)

Download: PDF (0 KB) HTML (30 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the clinical effect of modified anterior iliac-groin incision in the treatment of pelvic and acetabular fractures.Methods A total of 80 cases of pelvic and acetabular fractures admitted to Chaoyang Central Hospital from January 2017 to June 2020 were selected as the research subjects.According to the random number table method,they were divided into the control group and the observation group,with 40 cases in each group.The control group was treated by routine anterior ilioinguinal incision,the observation group chose the modified anterior iliac groin incision.The incision exposure time,bleeding volume during operation,incision closure time,and fracture reduction effect,post-treatment Majeed functional score after treatment were compared between the two groups.Results Compared with the control group,the observation group had shorter incision exposure time and incision closure time,and less bleeding volume during operation,the differences were statistically significant (P＜0.05).There was no statistically significant difference in the good rate of fracture reduction between the observation group and the control group (P＞0.05).After treatment,there was no statistically significant difference in Majeed functional score between the two groups (P＞0.05),but the total score of the observation group was higher than that of the control group,and the difference was statistically significant (P＜0.05).Conclusion Compared with the conventional anterior approach,the modified anterior approach to ilioinguinal incision for pelvic and acetabular fractures can achieve similar fracture reduction effect,but can reduce the operation time and bleeding volume during operation,and promote the improvement of postoperative Majeed functional score,which is worthy of application.

Key words： Pelvic fracture Acetabular fracture Conventional anterior approach Modified anterior approach Ilioinguinal incision Postoperative function

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Yang

Cite this article:

WANG Yang. Clinical effect of modified anterior approach ilioinguinal incision in the treatment of pelvic and acetabular fractures[J]. 中国当代医药, 2021, 28(6): 77-79.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I6/77

[1]	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）：361-363.
[2]	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.
[3]	王春荣，岳立群，夏建华.改良Stoppa入路与髂腹股沟入路手术治疗骨盆和髋臼骨折的疗效比较[J].临床和实验医学杂志，2019，18（12）：1301-1304.
[4]	沈红雷，冯德宏，许宏俊，等.CT 三维重建技术判断骨盆骨折Tile 分型与二维CT 及X线的对比研究[J].河北医学，2019，26（6）：982-986.
[5]	韩力，赵建文，王晓伟，等.不同入路手术对骨盆髋臼骨折患者骨折复位质量、髋关节功能及炎症因子的影响[J].现代生物医学进展，2020，20（7）：1289-1292.
[6]	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.
[7]	凌健，尚希福.改良Stoppa入路与髂腹股沟入路治疗骨盆髋臼骨折的疗效比较[J].中国矫形外科杂志，2017，25（24）：2286-2289.
[8]	陈晓，马坤龙，徐海涛，等.改良Stoppa入路与髂腹股沟入路治疗骨盆、髋臼骨折的Meta分析[J].中国组织工程研究，2017，21（19）：3108-3116.
[9]	张凤桐，冯学武，马建国，等.单一髂腹股沟入路弹性支撑固定后柱治疗复杂髋臼骨折的效果评估[J].中国骨与关节损伤杂志，2018，33（4）：374-376.
[10]	郭仕强.Stoppa入路与髂腹股沟入路在髋臼骨折中的应用对比分析[J].实用骨科杂志，2017，23（7）：643-645.
[11]	殷建新，李连欣.髂腹股沟与Stoppa入路手术治疗骨盆及髋臼骨折疗效对比观察[J].山东医药，2016，56（42）：57-58.
[12]	殷杰，郭征，许向东，等.改良Stoppa入路手术方法治疗骨盆髋臼骨折的临床疗效分析[J].陕西医学杂志，2015，（9）：1224-1226.
[13]	谢易，龚泰芳，李彬彬，等.腹直肌外侧切口联合K-L入路治疗复杂髋臼骨折[J].创伤外科杂志，2018，20（11）：845-847.
[14]	姚运峰，薛晨曦，孙一松，等.两种前后联合入路治疗复杂髋臼骨折的疗效比较[J].中国修复重建外科杂志，2018，32（12）：1512-1517.
[15]	康锦，马林，郑铁钢，等.改良Kocher-Langenbeck入路在髋臼骨折手术中的应用[J].中华创伤骨科杂志，2018，20（3）：199-203.