采用经腹直肌旁入路手术治疗同侧髋臼及骨盆骨折的临床疗效探讨

The clinical effect of trans-abdominal approach for the treatment of ipsilateral acetabular and pelvic fractures

目的探讨经腹直肌旁入路手术治疗同侧髋臼及骨盆骨折的临床疗效。方法选取2017年5月至2019年5月本院收治的88例同侧髋臼及骨盆骨折患者,随机分为对照组与观察组,每组44例。两组均行切开复位内固定术治疗,对照组行髂腹股沟入路,观察组行腹直肌旁入路,比较两组切口长度、出血量、手术时间、住院时间、复位满意度及髋关节功能恢复情况。结果观察组切口长度、手术时间、住院时间均短于对照组,出血量少于对照组,差异有统计学意义(P<0.05);观察组骨折复位满意度为97.73%,高于对照组的90.91%,但差异无统计学意义;观察组髋关节功能恢复优良率为100.00%,高于对照组的93.18%,但差异无统计学意义。结论经腹直肌旁入路手术治疗同侧髋臼及骨盆骨折的临床疗效显著,可于较小切口下完成手术操作,出血量少,能明显缩短住院时间,术后骨折复位满意度较高,值得临床推广应用。

Objective To explore the clinical effect of trans-abdominal approach for the treatment of ipsilateral acetabular and pelvic fractures.Methods 88 patients with ipsilateral acetabular and pelvic fractures who were treated in our hospital from May 2017 to May 2019 were selected and they were randomly divided into the control group and the observation group,with 44 cases in each group.Both groups were received open reduction and internal fixation,the control group underwent ilioinguinal approach,and the observation group trans-abdominal approach.The incision length,blood loss,operation time,hospital stay,reduction satisfaction and hip function recovery were compared between the two groups.Results The inci-sion length,operation time and hospitalization time of the observation group were shorter than those of the control group,and the amount of bleeding was less than that of the control group,the difference was statistically significant(P<0.05).The fracture reduction satisfaction of the observation group was 97.73%,which was higher than 90.91%of the control group,but the difference was not statistically significant.The excellent and good rate of hip joint function recovery in the observation group was 100.00%,which was higher than 93.18%in the control group,but the difference was not statistically significant.Conclusion The transpara-abdominal approach for the treatment of ipsilateral acetabular and pelvic fractures has signifi-cant clinical effect,it can be performed with smaller incision,less blood loss,significantly shortened hospital stay,and has higher satisfaction with postoperative fracture reduction,it is worthy of clinical application.