改良Stoppa入路在髋臼及骨盆骨折手术治疗中的应用

The application of modified Stoppa approach operation in the treatment of acetabular and pelvic fractures

目的探讨改良Stoppa入路在髋臼及骨盆骨折手术治疗的应用效果,为临床手术方案的制定提供参考。方法选取自2010年8月至2013年8月期间本院收治的髋臼及骨盆骨折27例,采用改良Stoppa入路进行手术,观察患者的手术时间、术中出血量、术后切口愈合情况和并发症的发生情况,同时根据Matta影像学评分标准对患者的髋臼及骨盆复位情况进行评价。结果所有患者均成功完成手术治疗。手术持续时间为(138.92±31.57)min,术中出血量为(347.73±42.09)ml,术口均为I期愈合。16例骨盆骨折和6例髋臼骨折患者的复位评估为优,其余患者的复位评估为良,优良率为100.00%。术后屈髋功能受限的发生率最高,为14.81%,下肢深静脉血栓形成的发生率为11.11%。结论改良Stoppa入路治疗髋臼及骨盆骨折可充分暴露术野,具有良好的效果,且术后并发症少,值得推广应用。

Objective To investigate the effect of modified Stoppa operation in the treatment of acetabular and pelvic fractures,in order to provide the reference for the clinical operation scheme. Methods 27 patients with acetabular and pelvic fractures were selected,and they were treated in our hospital during August2010 and August 2013. They accepted the operation through modified Stoppa approach. The operation time,intraoperative bleeding volume,postoperative wound healing and complications were observed. The resetting conditions of acetabular and pelvic fractures were assessed according the Matta image scores. Results All the operation treatment for patients was successfully completed. Operation time was（ 138.92± 31.57） min,operation hemorrhage was（ 347.73 ± 42. 09） ml,all of the wound obtained stage I healing. The evaluation of 16 cases of pelvic fracture and 10 cases of patients with acetabular fracture was good and the excellent and good rate was 100%. The occurrence of hip function limited was the highest after operation,which was 14.81%,the occurrence of lower extremity deep venous thrombosis was 11. 11%. Conclusions The modified Stoppa approach for the treatment of acetabular and pelvic fractures can expose the operative field,has good effect,and less postoperative complications,so it is worthy of popularization and application.