三种手术入路治疗髋臼骨折的临床分析  

Clinical analysis of three surgical approaches for the treatment of acetabular fractures

作　　者：黄若强[1] 刘有玉[1] 隋英[2] 

机构地区：[1]中国医科大学附属辽阳市中心医院骨科,辽宁辽阳111000 [2]中国石油辽阳石油化纤公司职工医院骨科,辽宁辽阳111003

出　　处：《中国医药导报》2010年第7期145-146,共2页China Medical Herald

摘　　要：目的:探讨三种手术入路治疗髋臼骨折的手术疗效。方法:采用Kocher-Langenbeck入路23例,髂腹股沟入路19例,前后联合入路4例。结果:患者全部得到随访,时间4～48个月。关节功能按D′Aubigne和Postel6分法评分标准评分,优27例,良16例,可3例,优良率为93.5%。4例出现创伤性关节炎,2例出现异位骨化,1例合并坐骨神经损伤者术后6个月恢复。结论:术前准确分析骨折类型,选择正确的手术入路,对骨折进行解剖复位,并采用有效内固定是提高手术疗效的关键。Objective： To discuss the surgical treatment on acetabular fracture to shorten surgery time and hospitalization time. Methods： With the ways of Kocher-Langenbeck approach （23 cases）, ilioinguinal approach （19 cases）, Fore-after joint approach （4 cases）. Results： All patients were followed up 4 to 48 months. According to the grade of joint function D＂ Aubigne and Postel six forked method, execllence 27 cases, fine 16 cases, satisfied 3 cases, exellent rate was 93.5%. 4 cases with traumatic arthrophlogosis, 2 cases with heterotopic ossification, 1 case with ischiadic nerve injure was recovered in 6 months. Conclusion： It＇s a challenge and test for doctors to treat complex acetabular fracture, so it should be run more cautiously and actively. The accurate analysis of the classification of fracture, correct operative approach and the fixation are the key to improve the efficacy of the surgical treatment.

关 键 词：髋臼骨折 Kocher—Langenbeck入路 髂腹股沟入路 前后联合入路 

分 类 号：R687.32[医药卫生—骨科学]