改良Stoppa入路与髂腹股沟入路重建钢板内固定术治疗骨盆骨折患者的效果比较  

Comparison of effects of reconstruction plate internal fixation via modified Stoppa approach and ilioinguinal approach in treatment of patients with pelvic fractures

作　　者：尚晨光 朱华 赵云昌[1] SHANG Chenguang;ZHU Hua;ZHAO Yunchang(Zhoukou Central Hospital,Third Department of Orthopedics,Zhoukou 466000 Henan,China;Zhoukou Central Hospital,Pain Department,Zhoukou 466000 Henan,China)

机构地区：[1]周口市中心医院骨三科,河南周口466000 [2]周口市中心医院疼痛科,河南周口466000

出　　处：《中国民康医学》2025年第9期158-160,164,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较改良Stoppa入路与髂腹股沟入路重建钢板内固定术治疗骨盆骨折患者的效果。方法:选取2020年10月至2023年10月该院收治的102例骨盆骨折患者进行前瞻性研究,采用信封法将其分为对照组和研究组各51例。对照组采用髂腹股沟入路重建钢板内固定术治疗,研究组采用改良Stoppa入路重建钢板内固定术治疗,比较两组治疗优良率,围手术期指标[住院时间、骨折愈合时间、术中出血量、视觉模拟评分法(VAS)评分]水平,手术前后应激指标[促肾上腺皮质激素(ACTH)、醛固酮(ALD)、皮质醇(Cor)]水平,以及术后3个月并发症发生率。结果:研究组治疗优良率为92.16%(47/51),高于对照组的76.47%(39/51),差异有统计学意义(P<0.05);研究组术中出血量少于对照组,骨折愈合时间和住院时间均短于对照组,差异有统计学意义(P<0.05);术后48 h,两组VAS评分均低于术前,且研究组低于对照组,差异有统计学意义(P<0.05);术后48 h,两组ACTH、Cor、ALD水平均高于术前,但研究组低于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为3.92%(2/51),低于对照组的15.69%(8/51),差异有统计学意义(P<0.05)。结论:改良Stoppa入路重建钢板内固定术治疗骨盆骨折患者可提高治疗优良率,改善围手术期指标水平,降低应激指标水平和并发症发生率,效果优于髂腹股沟入路重建钢板内固定术治疗。Objective:To compare effects of reconstruction plate internal fixation via modified Stoppa approach and ilioinguinal approach in treatment of patients with pelvic fractures.Methods:A prospective study was conducted on 102 patients with pelvic fractures admitted to this hospital from October 2020 to October 2023.According to the envelope method,they were divided into control group and study group,51 cases in each group.The control group was treated with reconstruction plate internal fixation via ilioinguinal approach,while the study group was treated with reconstruction plate internal fixation via modified Stoppa approach.The excellent and good rate of treatment,the levels of perioperative indexes[hospitalization time,fracture healing time,intraoperative blood loss,visual analogue scale(VAS)],stress indexes[adrenocorticotropic hormone(ACTH),aldosterone(ALD)and cortisol(Cor)]before and after the surgery,and the incidence of complications 3 months after the surgery were compared between the two groups.Results:The excellent and good rate of treatment in the study group was 92.16%(47/51),which was higher than 76.47%(39/51)in the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss in the study group was less than that in the control group,the fracture healing time and the hospitalization time were shorter than those in the control group,and the differences were statistically significant(P<0.05).At 48 h after the surgery,the VAS scores of the two groups were lower than those before the surgery,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).At 48 h after the surgery,the levels of ACTH,Cor and ALD in the two groups were higher than those before the surgery,but those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was 3.92%(2/51),which was lower than 15.69%(8/51)in the c

关 键 词：改良STOPPA入路 髂腹股沟入路 重建钢板内固定术 骨盆骨折 应激 并发症 

分 类 号：R683.3[医药卫生—骨科学]