Stoppa入路结合髂窝入路治疗髋臼前柱或双柱骨折患者的疗效评价  

Evaluation on curative effect of Stoppaapproach combined with iliac fossa approach in treatment of patients with coxafossa anterior column or coxafossa dual column bone fracture

作　　者：王德超[1] 李奎[1] 曹鹏克[1] 栾丰年[1] 崔冰[1] 宁宇[1] 张冰[1] WANG Dechao LI Kui CAO Pengke LUAN Fengnian CUI Bing NING Yu ZHANG Bing(Department of Orthopaedics, Second Affiliated Hospital, Luohe Medicine College, Luohe 462300, Chin)

机构地区：[1]河南省漯河医学高等专科学校第二附属医院骨五科,河南漯河462300

出　　处：《吉林大学学报（医学版）》2017年第2期391-395,共5页Journal of Jilin University：Medicine Edition

基　　金：河南省高等学校重点科研项目资助课题(16B320013)

摘　　要：目的:探讨Stoppa入路结合髂窝入路治疗髋臼前柱或双柱骨折患者的疗效和安全性,为推广Stoppa入路结合髂窝入路治疗髋臼骨折患者提供科学依据。方法:选择髋臼前柱或双柱骨折患者63例,随机分为采用Stoppa入路结合髂窝入路治疗组(Stoppa组)32例和采用髂腹股沟入路治疗组(对照组)31例,评价2组患者术中出血量、手术时间、术后骨折复位质量及术后髋关节功能等情况。结果:与对照组比较,Stoppa组患者术中出血量明显减少(P<0.05),手术时间减少(P<0.05),骨折复位质量优者所占比例高(P<0.05),临床功能评分明显提高(P<0.05)。结论:Stoppa入路结合髂窝入路是治疗髋臼前柱或双柱骨折患者的一种有效方法,其具有手术视野显露充分、组织损伤小、手术时间短、失血量少、解剖复位率高和临床功能好等优势。Objective：To investigate the curative effect and safety of Stoppaapproach combined with iliac fossa approach in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture,and to provide a scientific evidence for its application in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture.Methods：Sixty-three patients with coxafossa anterior column or coxafossa dual column bone fracture were selected;among them 32 cases were treated with stoppaapproach combined iliac fossa approach（Stoppagroup）,and 31 patients were treated with ilioinguinal approach（control group）.The intraoperative blood loss volume,the operaton time,the reset quality of fracture and hip joint function after operation of the patients in two groups were evaluated.Results：The intraoperative blood loss volume of the patients in Stoppagroup was lower than that in control group,and the difference was statistically significant（P〈0.05）.The operation time of the patients in Stoppagroup was shorter than that in control group,and the difference was statistically significant（P〈0.05）.The reset quality of fracture of the patients in stoppagroup was higher than that in control group,and the difference was statistically significant（P〈0.05）.The hip joint function of the patients in Stoppagroup was higher than that in control group,and the difference was statistically significant（P〈0.05）.Conclusion：Stoppaapproach combined with iliac fossa approach is an effective method in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture with sufficient exposure and tiny tissue damage.Stoppaapproach combined with iliac fossa approach in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture has the advantages of shorter operative time,less blood loss,higher rate of anatomic reduction,and good joint function.

关 键 词：髋臼骨折 双柱骨折 Stoppa入路 髂窝入路 

分 类 号：R683.3[医药卫生—骨科学]