经腹直肌旁入路手术治疗复杂性髋臼骨折的临床效果  

Clinical effect of surgery via pararectus abdominis approach in the treatment of complex acetabular fracture

作　　者：邓军荣 陶圣祥[2] DENG Junrong;TAO Shengxiang(People's Hospital of Jingshan,Jingshan 431800;Zhongnan Hospital of Wuhan University,Wuhan 430071,China)

机构地区：[1]京山市人民医院,湖北京山431800 [2]武汉大学中南医院,湖北武汉430071

出　　处：《临床医学研究与实践》2022年第11期58-60,共3页Clinical Research and Practice

摘　　要：目的探究经腹直肌旁入路手术治疗复杂性髋臼骨折的临床效果。方法选取2020年1月至2021年7月我院骨科收治的80例复杂性髋臼骨折患者作为研究对象,依据入院编号的奇偶性将其分为对照组与观察组,各40例。对照组实施改良骼腹沟入路手术治疗,观察组实施经腹直肌旁入路手术治疗。比较两组的髋关节功能、髋关节损伤程度、生活自理能力、运动功能、手术相关指标、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、白细胞介素-10(IL-10)水平及并发症发生情况。结果术后6个月,两组的Harris、Postel、ADL、Fugl-Meyer评分均升高,且观察组高于对照组(P<0.05)。观察组的手术时长、切口长度及住院时间短于对照组,术中失血量少于对照组(P<0.05)。术后2周,观察组的IL-6、TNF-α水平均低于对照组,IL-10水平高于对照组(P<0.05)。观察组的术后并发症总发生率为7.50%,显著低于对照组的25.00%(P<0.05)。结论经腹直肌旁入路手术治疗复杂性髋臼骨折患者的效果显著,能减轻手术对患者的损伤,改善髋关节功能及预后,具有重要的临床应用价值。Objective To explore the clinical effect of surgery via pararectus abdominis approach in the treatment of complex acetabular fracture.Methods A total of 80 patients with complex acetabular fractures treated in the orthopaedics department of our hospital from January 2020 to July 2021 were selected as the research objects.According to the parity of admission number,the patients were divided into control group and observation group,with 40 cases in each group.The control group was treated with surgery via modified iliac sulcus approach,and the observation group was treated with surgery via pararectus abdominis approach.The hip function,degree of hip injury,self-care ability,motor function,operation related indexes,interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),interleukin-10(IL-10)levels and complications were compared between the two groups.Results Six months after operation,the scores of Harris,Postel,ADL and Fugl-Meyer in the two groups increased,and those in the observation group were higher than the control group(P<0.05).The operation time,incision length and hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss volume was less than that in the control group(P<0.05).Two weeks after operation,the levels of IL-6,TNF-αin the observation group were lower than those in the control group,the IL-10 level was higher than that in the control group(P<0.05).The total incidence of postoperative complications in the observation group was 7.50%,which was significantly lower than 25.00%in the control group(P<0.05).Conclusion The surgery via pararectus abdominis approach in the treatment of patients with complex acetabular fractures has significant effect.It can reduce the injury of surgery to patients,and improve the hip function and prognosis,with important clinical application value.

关 键 词：经腹直肌旁入路 复杂性髋臼骨折 髋关节功能 

分 类 号：R687.3[医药卫生—骨科学]