摘要
目的:探讨改良后的两窗髂腹股沟入路切开复位内固定治疗髋臼骨折的疗效。方法:选择60例髋臼骨折患者,随机分为两组,每组30例。对照组行标准三窗髂腹股沟入路切开复位内固定治疗,观察组则行改良两窗髂腹股沟入路切开复位内固定治疗,对比两组治疗效果。结果:观察组优良率为96.7%,对照组的为93.3%,差异无统计学意义(P>0.05)。观察组手术用时为(54.7±8.6)min,术中出血量为(234.4±27.9)ml,明显少于对照组的(96.2±9.8)min、(511.9±53.8)ml,差异有统计学意义(P<0.05)。结论:改良后两窗髂腹股沟入路切开复位内固定治疗髋臼骨折的疗效确切,操作简单,术中出血量较少,值得推广应用。
Objective To investigate the two windows groin incision approach improved the clinical efficacy of internal fixation of acetabu- lar fractures. Method 60 cases of acetabular fracture patients were randomly divided into two groups, 30 cases of each group. The control group received the standard three windows ilioinguinal open reduction and internal fixation, observation group received a modified two windows ilioinguinal open reduction and internal fixation. Treatment effects of the two groups were observed. Results The observation group excellent rate was 96. 7%, the control group was 93. 3%, no statistically significant difference （ P 〉 0. 05 ）. The observation group surgical time were （54. 7 ± 8.6） min, surgical blood loss were （234. 4 ± 27. 9 ） ml, significantly less than the control group （ 96. 2 ± 9. 8 ） min, （ 511.9 ±53. 8 ） ml （P 〈 0. 05 ）. Conclusion Improved after two windows ilioinguinal ORIF program reatment of acetabular fractures, simple operation, less surgi- cal blood loss,worthy of promotion and application.
出处
《吉林医学》
CAS
2015年第14期2979-2980,共2页
Jilin Medical Journal
