髋臼骨折合并髋关节后脱位的早期诊治(附30例报告)

Early diagnosis and treatment of fractures of acetabulum with posterior dislocation of hip joint:A report of 30 cases

目的 探讨髋臼骨折合并髋关节后脱位的早期诊断方法及治疗。方法 对 30例患者分别经三位X线、CT、MRI检查后 ,于 3d内明确诊断 ,予手术或非手术治疗 ;结果 本组 2 7例病人获得随访 ,按临床疗效标准 ,优良率为 86 .8% ;结论 三位X线、CT及MRI是早期明确诊断髋臼骨折脱位的有效方法 ,如条件允许 ,宜早期手术治疗。

Objective To consider the earlier diagnosis and treatment methods for the fractures of acetabulum with posterior dislocation of hip joint. Methods The definite diagnosis within three days in 30 patients were given by three-dimemsional x-ray, CT and MRI,then treated with operation or no-operation. Result In 27 cases followed-up for 1～4a, the cure rate was 86.8% according to the criterion of therapeutical effect. Conclusion The three-dimensional x-xay, CT and MRI are effective methods for earlier definite diagnosis in patients of the fractures of acetabulum with posterior dislocation of hip joint; if the condition of patients is permited, the patients should be operated in earlier stage.