摘要
目的 探讨传统髂腹股沟入路和改良Stopp入路治疗骨盆及髋臼骨折的临床疗效及价值。方法 2010年1月~2015年6月在汕头大学医学院第一附属医院治疗的骨盆及髋臼骨折患者进行回顾性研究,其中采用传统髂腹股沟入路26例,采用改良Stoppa入路17例,对两组手术时间、术中出血量、术后引流量、骨折复位效果及术后并发症情况进行对比。结果 与传统髂腹股沟入路相比较,采用Stoppa入路缩短手术时间、术中出血量及术后引流量（P〈0.05）。在术后并发症及骨折复位效果方面,两种入路手术组间无明显差异。结论 在骨盆及髋臼骨折中,Stoppa入路是值得选择的一种手术入路,可明显缩短手术时间,减少术中出血量及术后引流量。
Objective To explore the clinical therapeutic effect and value of traditional indirect inguinal approach and improved Stoppa approach in treatment of pelvic and acetabular fractures. Methods Patients with pelvic and acetabular fractures cured in the First Affiliated Hospital of Shantou University Medical College from January 2010 to June 2015 were retrospectively analyzed. Among them, 26 cases were treated with traditional indirect inguinal approach, and 17 cases were treated with improved Stoppa approach. Operation time, intraoperative blood loss, postoperative drainage volume, fracture reduction effect and postoperative complications of the two groups were compared. Results Compared with the traditional indirect inguinal approach method, operation time, intraoperative blood loss and postoperative drainage volume of improved Stoppa approach method were less （P 〈 0.05）.There were no significant differences between the two groups in the postoperative complications and the effect of fracture reduction. Conclusion Stoppa approach is a worthy choice of surgical approach in pelvic and acetabular fractures. It can significantly shorten the operation time, and reduce the amount of bleeding and postoperative drainage.
出处
《中国医药科学》
2016年第17期192-194,共3页
China Medicine And Pharmacy
基金
广东省医学科研基金项目(A2016516)
关键词
骨盆骨折
髋臼骨折
髂腹股沟入路
Stoppa入路
Pelvic fractures
Acetabular fractures
Indirect inguinal approach
Stoppa approach
