不同前方手术入路治疗髋臼骨折的疗效观察  

Curative effects of different anterior surgical approaches in the treatment of acetabular fracture

作　　者：李相伟 孙志波 陈荣 肖亮 朱贵娟 LI Xiang-wei;SUN Zhi-bo;CHEN Rong;XIAO Liang;ZHU Gui-juan(Department of Orthopaedic Center,Shiyan People′s Hospital/People′s Hospital Affiliated to Hubei University of Medicine,Shiyan Hubei 442000,China)

机构地区：[1]十堰市人民医院/湖北医药学院附属人民医院骨科中心,湖北十堰442000

出　　处：《局解手术学杂志》2023年第11期1005-1009,共5页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的 探讨改良微创髂腹股沟入路(MMIIA)、改良Stoppa入路(MSA)及腹直肌外侧入路(PRA)治疗髋臼骨折的临床疗效。方法 回顾性分析我院收治的55例髋臼骨折患者的临床资料,根据手术入路分为MMIIA组(14例)、MSA组(25例)和PRA组(16例)。比较各组患者手术时间、术中出血量、骨折复位质量、髋关节功能及术后并发症发生情况。结果 MSA组和PRA组患者手术时间、术中出血量及骨折复位质量优于MMIIA组(P<0.05);但各组患者术后髋关节功能恢复及术后并发症发生率比较差异无统计学意义(P>0.05)。结论 MMIIA、MSA及PRA治疗髋臼骨折均能够取得良好的治疗效果,在髋关节功能恢复及术后并发症发生方面无显著变化,但MMIIA在术中出血量、手术时间及骨折复位质量方面不如其他两种入路。Objective To explore the clinical effects of modified minimally invasive ilioinguinal approach(MMIIA),modified Stoppa approach(MSA)and para-rectus approach(PRA)in the treatment of acetabular fracture.Methods The clinical data of 55 patients with acetabular fracture admitted to our hospital were retrospectively analyzed.According to the surgical approaches,they were divided into the MMIIA group(14 cases),the MSA group(25 cases) and the PRA group(16 cases).The operation time,intraoperative blood loss,fracture reduction quality,recovery of hip joint function and occurence of postoperative complications were compared among the three groups.Results The operation time,intraoperative blood loss and fracture reduction quality of patients in the MSA group and the PRA group were better than those in the MMIIA group(P<0.05).However,there was no statistically significant difference in the recovery of hip joint function or the incidence of postoperative complications among the patients in three groups(P>0.05).Conclusion MMIIA,MSA and PRA can all have good therapeutic effects in the treatment of acetabular fractures,without significant changes in hip joint function recovery or postoperative complications,but MMIIA is inferior to the other two approaches in terms of intraoperative blood loss,operation time and fracture reduction quality.

关 键 词：髋臼骨折 手术入路 改良微创髂腹股沟入路 改良STOPPA入路 腹直肌外侧入路 疗效 

分 类 号：R683.3[医药卫生—骨科学]