Stoppa入路结合髂窝入路治疗髋臼前柱或双柱骨折患者的疗效评价

摘要

目的:探讨Stoppa入路结合髂窝入路治疗髋臼前柱或双柱骨折患者的疗效和安全性,为推广Stoppa入路结合髂窝入路治疗髋臼骨折患者提供科学依据.方法:选择髋臼前柱或双柱骨折患者63例,随机分为采用Stoppa入路结合髂窝入路治疗组(Stoppa组)32例和采用髂腹股沟入路治疗组(对照组)31例,评价2组患者术中出血量、手术时间、术后骨折复位质量及术后髋关节功能等情况. 结果:与对照组比较,Stoppa组患者术中出血量明显减少(P<0.05),手术时间减少(P<0.05),骨折复位质量优者所占比例高(P<0.05),临床功能评分明显提高(P<0.05).结论:Stoppa入路结合髂窝入路是治疗髋臼前柱或双柱骨折患者的一种有效方法,其具有手术视野显露充分、组织损伤小、手术时间短、失血量少、解剖复位率高和临床功能好等优势.%Objective:To investigate the curative effect and safety of Stoppa approach combined with iliac fossa approach in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture, and to provide a scientific evidence for its application in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture.Methods:Sixty-three patients with coxafossa anterior column or coxafossa dual column bone fracture were selected;among them 32 cases were treated with stoppa approach combined iliac fossa approach(Stoppa group),and 31 patients were treated with ilioinguinal approach(control group).The intraoperative blood loss volume,the operaton time,the reset quality of fracture and hip joint function after operation of the patients in two groups were evaluated.Results:The intraoperative blood loss volume of the patients in Stoppa group was lower than that in control group, and the difference was statistically significant (P<0.05).The operation time of the patients in Stoppa group was shorter than that in control group, and the difference was statistically significant (P<0.05).The reset quality of fracture of the patients in stoppa group was higher than that in control group, and the difference was statistically significant (P<0.05).The hip joint function of the patients in Stoppa group was higher than that in control group, and the difference was statistically significant (P<0.05).Conclusion:Stoppa approach combined with iliac fossa approach is an effective method in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture with sufficient exposure and tiny tissue damage.Stoppa approach combined with iliac fossa approach in the treatment of the patients with coxafossa anterior column or coxafossa dual column bone fracture has the advantages of shorter operative time,less blood loss, higher rate of anatomic reduction,and good joint function.