Stoppa入路、经髂腹股沟入路对骨盆髋臼骨折患者术后运动功能及生活自理能力的影响观察

Effect of Stoppa approach and ilioinguinal approach on postoperative motor function and self-care ability of daily living for patients with pelvic and acetabular fracture

目的探究Stoppa入路、经髂腹股沟入路两种不同的手术方式对骨盆髋臼骨折患者术后运动功能及生活自理能力的影响观察。方法将我院2014年1月~2019年1月收治的50例骨盆髋臼骨折患者作为研究对象,随机分为对照组和实验组,每组25例,对照组行髂腹股沟入路手术治疗,实验组行改良Stoppa入路手术治疗。比较两组围术期指标,骨折复位质量、髋关节功能恢复效果、术后并发症和生活质量改善效果等。结果实验组的平均手术时间、术后住院时间、手术切口长度以及术中出血量等明显少于对照组(P<0.05);实验组的术后骨折复位优良率、髋关节功能恢复优良率高于对照组(P<0.05);两组患者并发症发生情况差异无统计学意义(P>0.05);实验组患者术后生活质量量表(SF-36量表)各项评分均明显高于对照组(P<0.05)。结论Stoppa入路手术治疗骨盆和髋臼骨折,疗效及安全性均优于髂腹股沟入路手术,更有助于恢复患者术后运动功能和生活自理能力。

Objective To explore the effect of two different surgical methods with Stoppa approach and ilioinguinal approach on postoperative motor function and self-care ability of daily living for patients with pelvic and acetabular fracture.Methods Fifty patients with pelvic and acetabular fracture received by our hospital from January 2014 to January 2019 were selected as study subjects and randomized into control group and test group,with 25 cases in each group.The control group was performed with surgical therapy with ilioinguinal approach,while the test group applied modified Stoppa approach for surgical therapy.The perioperative indexes,fracture reduction quality,hip functional rehabilitation efficacy,postoperative complication and improvement of quality of life were compared between two groups.Results The average operation duration,length of stay after operation,length of surgical incision and intraoperative blood loss of test group were significantly less than control group(P<0.05).The good rates of fracture reduction after operation and hip functional rehabilitation of test group were significantly higher than those of control group(P<0.05).The incidences of complications were not significantly different between two groups(P>0.05).The scores of QOL scale(SF-36 scale)after operation for patients of test group were significantly higher than those of control group(P<0.05).Conclusion The efficacy and safety of Stoppa approach in the surgical treatment of pelvic and acetabular fracture were superior to surgery with ilioinguinal approach,contributing to recovering motor function and self-care ability of daily living.