骨伤论坛结肠、.PDFVIP

458 2007 7 20 7 China JO rthop Trauma, Jul. 2007, Vo.l 20, No. 7 牛云飞, 王家林, 张春才 (, , 200433) ! 复杂性髋臼骨折( complex acetabular fractures, CAF)为高能量损伤, 受损同时往往合并有严重的内脏器 官或皮肤软 织损伤, 治疗抢救过程中又可能出现一系列严重并发症目前, 多数学者主张复杂性髋臼骨折尽量争取 早期手术切开复位内固定, 对于合并有结肠膀胱造瘘褥疮和入路附近皮肤挫伤感染的复杂性髋臼骨折, 如何确定手 术指征争取手术时机采用合理的术式改善患者愈后生活质量是复杂性髋臼骨折治疗过程中面临的一个重要课题 ! 复杂性髋臼骨折; 并发症; 外科手术 M anagement of complex acetabular fractures ( CAF) accompanied with colostomy, cystostomy, bedsore, contunding and infected skin near the approach NIU Yunf ei, WANG Jialin, ZHAN G Chuncai. Departm ent of Orthop aed ics, theAff ilia ted Chan haiH osp ital of the SecondM ilitaryM ed ical Un iversity, Shan ha i 200433, Ch ina ABS RAC Complex acetabular fractures ( CAF) are results of highenergy trauma and usually associated ith severe injury of internal organs or soft tissue. A series of complicationsmay emerge in the course of therapy. No most doctors recommend that CAF should get early open reduction and internal fixation. But for the patients ho ere accompanied ith colostomy, cys tostomy, bedsore, contunding and infected skin near the approach, ho to determine the indications, manage and in the oppor tunity of operation to mi prove the quality of life is a significant topic for study and discussion. K ey words Complex acetabular fractures; Complication; Surgicalprocedures, operative Zhongguo Gushang/China J Orthop T rauma, 2007, 20( 7): 458460 . zggszz. com [ 3] , ,M ears , ( complex acetabular 76% 157% fractures, CAF) [ 1], , 21~ 120 d, 65% 24% [ 4] : [ 5] , , , , ,