吉首大学学报(自然科学版)

• 医学 • 上一篇    下一篇

腹直肌外侧入路治疗骨盆髋臼骨折的临床应用

徐静,瞿涛,张权,杨云平,黄烈俊   

  1. (铜仁市人民医院创伤骨科,贵州 铜仁 554300)
  • 出版日期:2019-11-25 发布日期:2019-12-16
  • 作者简介:徐静(1978—),男,贵州铜仁人,铜仁市人民医院创伤骨科副主任医生,副教授,主要从事骨外科研究.

Clinical Application of Lateral Rectus Approach in the  Treatment of Pelvic Acetabular Fracture of

XU Jing,  QIU Tao, ZHANG Quan, YANG Yunping, HUANG Leijun   

  1. (Tongren People's Hospital Orthopaedic Trauma, Tongren 554300, Guizhou China)
  • Online:2019-11-25 Published:2019-12-16

摘要:

为了探讨腹直肌外侧入路治疗骨盆髋臼骨折的临床效果,选取需手术治疗的骨盆髋臼骨折患者30例,随机分为2组,观察组采用经腹直肌外侧入路,对照组采用传统髂腹股沟入路,比较2组患者显露时间、手术时间、术中出血量、骨折复位优良率、术后髋关节功能、并发症发生率.结果表明:观察组手术时间、术中出血量、骨折复位优良率、髋关节功能均优于对照组,并发症发生率明显低于对照级.说明腹直肌外侧入路治疗骨盆髋臼骨折具有操作时间短、显露范围大、术中出血少、复位良好、术后髋关节功能满意、并发症少等优点,值得临床推广.

关键词: 腹直肌外侧入路, 骨盆, 髋臼, 骨折

Abstract:

To explore the clinical effect of lateral rectus approach in the treatment of pelvic acetabular fractures, 30 patients with pelvic acetabular fracture were selected for surgical treatment, who were randomly divided into two groups, the observation group treated by the lateral rectus abdominis, the control group treated by the traditional iliac-groin approach. Exposed time, operation time, intraoperative bleeding, good rate of fracture reduction, and postoperative hip function were compared. Results showed that the observation group was superior to the control group in exposed time, operation time, intraoperative bleeding, fracture reduction and hip function. It can be concluded that treatment of pelvic acetabular fractures by lateral rectus abdominis has the advantages of short operation time, large exposure range, less bleeding during operation, good reduction and satisfactory hip function after operation, which makes it worthy of clinical popularization.

Key words: lateral rectus abdominis, pelvis; acetabulum, fractures

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