改良Stoppa入路与髂腹股沟入路治疗骨盆髋臼骨折的临床对比研究  

Clinical Comparative Study of Modified Stoppa Approach and Ilioinguinal Approach for the Treatment of Pelvic and Acetabular Fractures

作　　者：李春会 刘东梅 李烁[2] 罗先国[2] LI Chun-hui;LIN Dong-mei;LI Shuo(Department of orthopedics,the first hospital of Qiqihar,Qiqihar,Heilongjiang province 161000)

机构地区：[1]黑龙江省齐齐哈尔市第一医院南院骨二科,161000 [2]齐齐哈尔市第一医院,黑龙江齐齐哈尔161000

出　　处：《中国伤残医学》2022年第7期1-4,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：齐齐哈尔市科学技术计划攻关项目(编号:SFGG-201618)。

摘　　要：目的:分析改良Stoppa入路与髂腹股沟入路治疗骨盆髋臼骨折的临床疗效。方法:回顾分析我院2015年1月-2019年6月我院收治骨盆髖白骨折患者126例,将其分为观察组、对照组2组,每组63例,观察组为改良Stoppa入路,对照组为髂腹股沟入路,将2组的临床观察指标(切口长度、手术时间、出血量、骨折复位质量、术后髋关节功能、术后并发症等)进行对比分析。结果:改良Stoppa入路组的切口长度、手术时间、出血量优于髂腹股沟入路,分别为(10.2±2.4)cm比(15.2±3.7)cm,(1.8±0.7)小时比(2.5±0.8)小时,(540±176)ml比(750±128)ml,P<0.05,而改良Stoppa入路与髂腹股沟入路的骨折复位质量优良率分别是88.9%、82.5%,术后髋关节功能的优良率分别是90.5%、87.3%,两者对比无明显差异(P>0.05)。结论:改良Stoppa入路在切口长度、手术时间、出血量方面优势显著,且入路简单、易于掌握,虽不能取代传统髂腹股沟入路,但不失为一种很好的入路选择,值得临床广泛推广应用。Objective:To analyze the clinical effect of modified Stoppa approach and ilioinguinal approach for the treatment of pelvis and acetabular fractures.Methods:A retrospective analysis of the clinical data of 126 cases of patients with pelvic and acetabulum fractures in our hospital from January 2013 to June 2019,were randomly divided into group A and Group B,63 cases in each group,modified Stoppa approach is group A,iliacinguinal approach is group B.The clinical observation indicators(incision length,operation time,bleeding volume,fracture reduction quality,postoperative hip function,postoperative complications,etc.)of the two groups were compared and analyzed.Results:The incision length,operation time and bleeding volume of the modified Stoppa approach group were better than that of the ilioinguinal approach,(10.2-2.4)cm vs(15.2-3.7)cm,(1.8-0.7)hvs(2.5+0.8)h,(540+176)ml vs(750+128)ml(P<0.05).But,the excellent and good rate of quality of fracture reduction of the modified Stoppa approach and the iliacinguinal approach is 88.9%and 82.5%,the excellent and good rates of hip joint function were 90.5%and 87.3%,there was no significant difference between the two groups(P>0.05).Conclusion:The modified Stoppa approach has significant advantages in terms of incision length,operation time and blood loss.Besides,the approach is simple and easy to master.Although it cannot replace the traditional ilioinguinal approach,it is still a good approach and worthy of widespread clinical application.

关 键 词：改良STOPPA入路 髂腹股沟入路 骨盆骨折 髋臼骨折 

分 类 号：R683.3[医药卫生—骨科学]