经腹直肌旁手术入路治疗髋臼骨折的研究进展

Research progress in pararectus approach for acetabulum fracture

髋臼由于特殊的解剖位置及其与周围组织的关系,当其发生骨折时,合适的手术入路不仅能降低患者的损伤、缩短手术时间、减少出血量,更有利于骨折的复位与固定。对于累及髋臼前方的骨折,目前报道较多的是髂腹股沟入路及改良的Stoppa入路,随着对髋臼骨折认识的深入,当其发生骨折移位时,以上两种入路常常因显露问题使得髋臼骨折处理较为棘手。经腹直肌旁手术入路可直视下对髋臼的前方和四方体的骨折进行复位与固定,方便于骨盆内放置钢板。本文就腹直肌旁手术入路在髋臼骨折治疗中的应用作一综述。

Due to the specific anatomical position of acetabulum and its relationship with the surrounding tissue, an appropriate surgical approach not only reduce the iatrogenic injury, shorten the operation time, reduce the blood loss, but also facilitate reduction and fixation of fractures as acetabular fractures happens. For the fractures involving the anterior acetabulum,there are many reports about ilioinguinal approach and improved Stoppa approach. As understanding of acetabular fractures deepens, the aforesaid two approaches might make the treatment of acetabular fracture more difficult due to exposure problems sometimes. However, the pararectus approach can be used to reduce and fix the anterior and quadrilateral fractures of the acetabulum under direct vision, which is convenient for plate placement in the true pelvis. This article reviews the application of the pararectus approach in the treatment of acetabular fractures.