改良Stoppa入路治疗骨盆骨折的临床疗效分析  

Analysis on the clinical efficacy of modified Stoppa approach in the treatment of pelvic fractures

作　　者：徐修磊 蔡继人 许圣犬 周刚[1] 宋杰 XU Xiulei;CAI Jiren;XU Shengquan;ZHOU Gang;SONG Jie(Department of Orthopedics,Alar Hospital,the First Division of Xinjiang Production and Construction Corps,Alar 843300,China)

机构地区：[1]新疆生产建设兵团第一师阿拉尔医院骨科,新疆阿拉尔843300

出　　处：《中国现代医生》2021年第31期98-101,共4页China Modern Doctor

摘　　要：目的研究分析在骨盆骨折患者中采取改良Stoppa(Modified Stoppa)入路治疗的临床效果。方法本研究抽取2019年5月至2020年12月我院接诊的60例骨盆骨折患者,随机数字表法进行分组,观察分析对照组纳入的30例采取常规治疗与观察组纳入的30例采取改良Stoppa入路治疗的临床效果。结果观察组关节功能恢复优良率和复位满意度(96.67%、93.33%)高于对照组(73.33%、70.00%),差异有统计学意义(P<0.05)。观察组手术时间、术中出血量、切口长度、住院时间和骨折愈合时间分别为(123.54±22.56)min、(166.72±32.08)mL、(10.17±1.52)cm、(13.09±2.25)d和(2.47±0.89)d,低于对照组的(176.43±37.85)min、(257.16±42.26)mL、(18.84±3.02)cm、(19.94±3.42)d和(3.53±1.02)d,差异有统计学意义(P<0.05)。观察组并发症总发生率为3.33%,低于对照组的23.33%,差异有统计学意义(P<0.05)。结论应用改良Stoppa入路治疗疗效突出,有效减轻关节障碍,加快功能恢复,减少并发症,临床安全性更高。Objective To study and analyze the clinical efficacy of modified Stoppa approach in the treatment of patients with pelvic fractures.Methods A total of sixty patients with pelvic fractures attended our hospital from May 2019 to December 2020 were selected as the research objects.They were grouped by the random number table method,with 30 cases in the control group treated with conventional treatment and 30 cases in the observation group treated with modified Stoppa approach.The clinical efficacy of the two groups was observed and comparatively analyzed.Results The excellent rate of joint function recovery and satisfaction of patients with repositioning in the observation group(96.67%and 93.33%)were higher than those in the control group(73.33%and 70.00%),with statistically significant differences(P<0.05).The operation duration,intraoperative blood loss,incision length,hospital stay and fracture healing time of the observation group were(123.54±22.56)min,(166.72±32.08)mL,(10.17±1.52)cm,(13.09±2.25)d and(2.47±0.89)d,respectively,which were shorter/less than those of the control group(176.43±37.85)min,(257.16±42.26)mL,(18.84±3.02)cm,(19.94±3.42)d and(3.53±1.02)d,respectively,with statistically significant differences(P<0.05).The total incidence of complications of the observation group was 3.33%,which was lower than that of the control group(23.33%),with statistically significant difference(P<0.05).Conclusion The modified Stoppa approach has outstanding efficacy in reducing joint disorders,accelerating functional recovery and reducing complications,and it has higher clinical safety.

关 键 词：骨盆骨折 改良STOPPA入路 关节优良率 并发症 

分 类 号：R687.3[医药卫生—骨科学]