改良Stoppa入路在骨盆骨折手术中应用价值研究

Study on the application value of modified Stoppa approach in pelvic fracture surgery

目的探讨改良Stoppa入路在骨盆骨折手术中的应用价值。方法选取南充市中医医院自2013年1月至2018年6月收治的60例骨盆骨折患者为研究对象,按手术方法分为常规组和观察组,每组各30例。常规组患者采取传统髂腹股沟入路手术,观察组采取改良版Stoppa入路手术。两组患者伤后均采用中医分期辨证论治。比较两组患者的围手术期指标、术后疼痛、髋关节恢复及并发症发生情况。结果两组患者的手术时间、术中出血量、住院时间及并发症情况比较,差异无统计学意义(P>0.05)。治疗前,两组患者的视觉模拟评分(VAS)、髂关节功能恢复评分(Harris)比较,差异无统计学意义(P>0.05)。治疗后1、3、6个月,两组患者的VAS、Harris评分明显下降,且观察组显著低于常规组,差异有统计学意义(P<0.05)。结论改良Stoppa入路在骨盆骨折手术中可有效避免神经、血管损伤,配合中医治疗,可有效促进骨折愈合、功能恢复。

Objective To explore the application value of modified Stoppa approach in pelvic fracture surgery.Methods A retrospective study was performed on 60 cases of patients with pelvic fracture who were admitted from January 2013 to June 2018.According to surgical methods,the patients were divided into the routine group and observation group,with 30 cases in each group.Patients in the conventional group underwent the traditional ilioinguinal approach,while the observation group underwent the modified Stoppa approach.Both groups of patients were treated with traditional Chinese medicine syndrome differentiation after injury.The perioperative indexes,postoperative pain,hip recovery and complications of the two groups were compared.Results There was no significant difference in the operation time,intraoperative blood loss,hospital stay and complications between the two groups(P>0.05).Before treatment,there was no statistically significant difference in visual analogue score(VAS)and Harris scores between the two groups(P>0.05).At 1,3 and 6 months after treatment,the VAS and Harris scores of the two groups were significantly decreased,and the observation group was significantly lower than the conventional group,with statistically significant differences(P<0.05).Conclusion The modified Stoppa approach can effectively avoid nerve and vascular injury in pelvic fracture surgery,it can effectively promote fracture healing and functional recovery with Chinese medicine treatment.