采用Stoppa入路手术治疗骨盆前环骨折  

The application of Stoppa approach in anterior pelvic ring fracture

作　　者：刘佳[1] 魏帅帅[1] 刘勇[1] 杨述华[1] 杜靖远[1] 邵增务[1] 

机构地区：[1]华中科技大学附属协和医院骨科,武汉430022

出　　处：《临床急诊杂志》2011年第4期246-248,共3页Journal of Clinical Emergency

基　　金：湖北省自然科学基金资助课题(NO:2010CDB08003)

摘　　要：目的:探索应用Stoppa手术入路治疗骨盆前环骨折的疗效。方法:对2008年6月至2010年2月期间用Stoppa手术入路治疗的17例骨盆前环骨折患者的治疗效果进行总结分析。按Tile分类方法〔1〕:A2类型3例,B2类型5例,B3类型7例,C2类型2例。均接受手术治疗且均采用Stoppa手术入路。其中11例采用骨盆前环钢板固定,4例采用骨盆前环钢板加外固定器固定,另外2例则采用骨盆前环钢板和骶髂螺钉固定。应用Matta标准〔2〕和Majeed评分〔3〕对骨折复位及术后功能进行评价。结果:Stoppa手术入路切口长度为10～13cm,平均12cm;手术时间80～100min,平均90min;术中出血量300～600ml,平均450ml。依据Matta标准,17例患者骨盆前环骨折均获满意复位,13例患者术后得到8～10个月随访,均达骨性愈合。按照Majeed评分,各患者术后评分逐渐提高。结论:Stoppa手术入路兼具切口较小、手术视野清晰、易于复位、并发症少和恢复快的特点。在手术治疗骨盆前环骨折时,Stoppa入路是一个理想的选择。Objective：To investigate the effects of Stoppa approach in treatment of anterior pelvic ring fracture. Method：From June 2008 to February 2010,17 cases of anterior pelvic ring fracture were treated through the Stoppa approach. According to Tile classification,3 cases were Tile type A2,5 cases were B2,7 cases were B3 and 2 cases were C2. The Stoppa approach was adopted for operation. Plate was used in 11 cases. Plate and external fixator were used in 4 cases. Plate and sacroiliac screws were used in 2 cases. The radiological results were evaluated by using Matta method. Result：The incision length of the Stoppa approach ranged from 10 to 13cm（average 12 cm） . The operation time ranged from 80 to 100 min（average 90 min） . And the blood loss in the operation ranged from 300 to 600 ml（average 450 ml） . According to Matta method,all cases obtained excellent reduction effects. 13 of them were followed up for 8 to 10 months and clinical bone healing was obtained. Conclusion：The Stoppa approach has lots of advantages,such as small incision,anatomical clarity,convenient reduction,low complication rate and fast rehabilitation. The Stoppa approach is an excellent choice in surgical treatment of anterior pelvic ring fracture.

关 键 词：骨盆前环 骨折 Stoppa入路 

分 类 号：R683[医药卫生—骨科学]