改良Stoppa入路在骨盆前环骨折中的临床应用

目的探讨采用改Stoppa入路治疗骨盆前环骨折的临床疗效方法2013年1月至2014年12月，采用改良Stoppa入路治疗骨盆前环骨折患者12例，观察手术时间、术中出血量及术后髓关节功能恢复情况结果本组手术时间65～110min、平均87min，术中失血量200～700ml、平均330ml，无重要神经、血管损伤及切口感染发生12例患青均获随访，随访时间6-18个月，平均12．5个月、术后髋关节功能评定按Majeed评分标准：优10例、良2倒结论改良stoppa入路具有创伤小、出血少、显露清晰、复位固定相对简单、疗效好等优点，是骨盆前环骨折显露及固定的不错选择。

Objective To evaluate the efficacy of modified Stoppa approach in treating anterior pelvic ring fracture. Methods Between January 2013 and December 2014, 12 cases of anterior pelvic ring fractures were treated by modified Stoppa approach were included in this study. The operation time, blood loss, active range of motion of hip joint and the post-operative function was evaluated by Majeed method. Results Patients were fbllowed up for 6 to 18 months （ mean 12.5 months ） , the operation time 65 to 110 min （ mean 87 min ） , blood loss 200 to 700ml （ mean 330 ml ） . There were no complications such as significant nerve, vascular injury and wound infection. According to the Majeed score criteria the hip thnction was evaluated： excellent in 10 cases, good in 2 cases. Conclusion The modified Stoppa approach has advantages ofmini-invasiveness, less bleeding, less surgical time and sufficient exposure, which is an ideal method for treating anterior pelvic ring fracture.