[1]方 弘,洪继均,李仕胜.经旁正中入路与改良Stoppa入路治疗成人髋臼骨折的效果比较[J].医学信息,2021,34(22):115-117.[doi:10.3969/j.issn.1006-1959.2021.22.035]
　FANG Hong,HONG Ji-jun,LI Shi-sheng.Comparison of the Effects of Paramedial Approach and Modified Stoppa Approach in the Treatment of Adult Acetabular Fractures[J].Medical Information,2021,34(22):115-117.[doi:10.3969/j.issn.1006-1959.2021.22.035]
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经旁正中入路与改良Stoppa入路治疗成人髋臼骨折的效果比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年22期
页码:
115-117
栏目:
临床研究
出版日期:
2021-11-15

文章信息/Info

Title:
Comparison of the Effects of Paramedial Approach and Modified Stoppa Approach in the Treatment of Adult Acetabular Fractures
文章编号:
1006-1959（2021）22-0115-03
作者:
方 弘; 洪继均; 李仕胜
（黄梅县中医院骨科，湖北 黄梅 435500）
Author(s):
FANG Hong; HONG Ji-jun; LI Shi-sheng
(Department of Orthopedics,Huangmei County Hospital of Traditional Chinese Medicine,Huangmei 435500,Hubei,China)
关键词:
经旁正中入路; 改良Stoppa入路; 髋臼骨折
Keywords:
Paracentral approach; Modified Stoppa approach; Acetabular fracture
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2021.22.035
文献标志码:
A
摘要:
目的 比较经旁正中入路与改良Stoppa入路治疗成人髋臼骨折的临床疗效。方法 选取2019年1月-2021年1月我院收治的100例成人髋臼骨折患者为研究对象，采用随机数字表法分为对照组和观察组，各50例。对照组采用改良Stoppa入路治疗，观察组采用经旁正中入路治疗，比较两组复位质量、手术指标、疼痛评分、髋关节评分及术后并发症发生情况。结果 观察组复位优良率为94.00%，与对照组的90.00%比较，差异无统计学意义（P＞0.05）；观察组手术时间、术中出血量、术后引流量均低于对照组，差异有统计学意义（P＜0.05）；观察组疼痛评分、Harris评分与对照组比较，差异无统计学意义（P＞0.05）；观察组术后并发症发生率为6.00%，与对照组的8.00%比较，差异无统计学意义（P＞0.05）。结论 经旁正中入路与改良Stoppa入路治疗成人髋臼骨折均可获得满意的复位，但与改良Stoppa入路比较，经旁正中入路在手术时间、术中出血量和术后引流量方面具有优势。临床应结合患者具体情况，科学合理选择入路方式，以确保临床治疗效果。
Abstract:
Objective To compare the clinical effects of paramedial approach and modified Stoppa approach in the treatment of adult acetabular fractures.Methods Totally 100 adult patients with acetabular fractures admitted to our hospital from January 2019 to January 2021 were selected and randomly divided into control group and observation group, with 50 cases in each group. The control group was treated with modified Stoppa approach, and the observation group was treated with paracentral approach. The reduction quality, surgical indexes, pain score, hip score and postoperative complications were compared between the two groups.Results The excellent and good rate of reduction in the observation group was 94.00%, which was compared with 90.00% in the control group, the difference was not statistically significant (P>0.05). The operation time, intraoperative blood loss and postoperative drainage in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in pain score and Harris score between the observation group and the control group (P>0.05). The incidence of postoperative complications in the observation group was 6.00%, which was compared with 8.00% in the control group, the difference was not statistically significant (P>0.05).Conclusion Both the paramedian approach and the modified Stoppa approach can achieve satisfactory reduction in the treatment of adult acetabular fractures. However, compared with the modified Stoppa approach, the paramedian approach has advantages in operation time, intraoperative blood loss and postoperative drainage. Clinically, the approach should be selected scientifically and reasonably according to the specific conditions of the patients to ensure the clinical treatment effect.

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更新日期/Last Update: 1900-01-01