改良Stoppa入路在髋臼及骨盆骨折手术治疗中的应用

发布时间：2018-12-15 11:23

【摘要】：目的对改良Stop-pa入路在髋臼及骨盆骨折手术治疗中的应用效果进行分析和探讨。方法收集陇南市第一人民医院2014-03-2016-03收治的髋臼及骨盆骨折患者30例,其中单独采用改良Stop-pa入路治疗的患者为21例,加用K-L入路治疗后主骨折的患者为7例,加用髂窝入路进行复位和固定处理的患者为2例。然后对患者治疗后的效果进行分析和研究。结果经过相关的治疗,这30例患者解剖复位26例,满意复位3例,不满意复位1例,复位满意率为96.67%。临床治疗效果优秀16例,良好9例,一般4例,较差1例,优良率为83.33%。有1例患者发生了膀胱破裂。然后进行了缝合手术,术后正常;有1例患者出现了股骨头坏死,然后对该患者进行全髋关节置换手术。结论改良Stop-pa入路在髋臼及骨盆骨折手术治疗中的有良好的应用效果,其操作比价简单,患者在术后的恢复比较快,并发症也比较少,因此可以进行临床推广应用。
[Abstract]:Objective to evaluate the effect of modified Stop-pa approach in the surgical treatment of acetabular and pelvic fractures. Methods A total of 30 patients with acetabular and pelvic fractures were collected from the first people's Hospital of Longnan City from 2014-03-2016-03. Among them, 21 cases were treated with modified Stop-pa approach alone, and 7 cases were treated with K-L approach. Two patients were treated with iliac fossa approach for reduction and fixation. Then the effect of treatment was analyzed and studied. Results there were 26 cases of anatomical reduction, 3 cases of satisfactory reduction and 1 case of unsatisfactory reduction. The satisfactory rate of reduction was 96.67%. The clinical effect was excellent in 16 cases, good in 9 cases, fair in 4 cases and poor in 1 case. The excellent and good rate was 83.33%. Bladder rupture occurred in one patient. Then the suture was performed and the operation was normal. There was necrosis of the femoral head in one patient and the total hip replacement was performed on the patient. Conclusion the modified Stop-pa approach has a good effect in the surgical treatment of acetabular and pelvic fractures.
【作者单位】：陇南市第一人民医院骨一科;
【分类号】：R687.3

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