高位髂腹股沟入路治疗Tile C型骨盆骨折的应用解剖及临床疗效

Applied anatomy and clinical efficacy of high ilioinguinal approach in the treatment of tile C-type pelvic fractures

目的研究高位髂腹股沟入路手术在Tile C型骨盆骨折临床治疗中的应用价值。方法选取70例Tile C型骨盆骨折患者作为研究对象,其中A组35例,采用经高位髂腹股沟入路手术;B组35例,采用单纯后入路手术进行治疗。比较两组治疗优良率、满意率、术中出血量、切口长度、手术时间、下地时间、住院时间以及并发症发生率。结果优良率,A组为88.57%,B组为65.71%,A组高于B组(P<0.05)。满意率,A组为97.14%,B组为74.29%,A组高于B组(P<0.05)。术中出血量、切口长度、手术时间、下地时间以及住院时间方面,A组优于B组(P<0.05)。并发症发生率,A组为2.86%,B组为22.86%,A组低于B组(P<0.05)。结论对Tile C型骨盆骨折患者的治疗,经高位髂腹股沟入路手术效果显著且安全性高,具有较高的临床应用和推广价值。

Objective To study the applied value of high ilioinguinal approach in the clinical treatment of Tile C type pelvic fractures.Methods In this study,35 patients with Tile C type pelvic fractures were selected as subjects of group A,which were treated by high ilioinguinal approach,while other 35 patients with Tile C type pelvic fractures were selected as subjects of group B,which were treated by simple posterior approach.After the treatment,the excellent and good rate,satisfaction rate,intraoperative blood loss,incision length,operation time,length of stay,time of hospitalization and incidence of complications were compared between the two groups.Results In terms of excellent and good rate,group A was 88.57%,group B was 65.71%,group A was higher than group B(P<0.05).In terms of satisfaction rate,group A was higher than that of group B(P<0.05)(Group A was 97.14%,group B was 74.29%).The volume of intraoperative blood loss,the length of incision,the time of operation,the time of going to the ground and the time of hospitalization in group A were all lower than that in group B(P<0.05).In terms of the incidence of complications,group A was 2.86%,group B was 22.86%,thus group A was lower than group B(P<0.05).Conclusions In the treatment of Tile C type pelvic fractures,the treatment with the high ilioinguinal approach has the advantages of significant effect and high safety,so it has a high clinical application and promotion value.