改良Stoppa入路在骨盆与髋臼骨折治疗中的临床应用.docVIP

精品论文 参考文献 改良Stoppa入路在骨盆与髋臼骨折治疗中的临床应用 （四川省广安市华蓥市广能集团总医院 四川 广安 638600） 　　【摘要】 目的：探讨临床中应用改良Stoppa 入路手术，治疗骨盆与髋臼骨折的可行性和疗效。方法：对10例髋臼骨折与26例骨盆骨折运用改良Stoppa 入路手术治疗，TileC型骨盆骨折和髋臼前柱骨折联合应用髂骨翼处辅助切口，手术中使用重建钢板固定C型臂X线机透视评估骨折复位质量和内固定在位情况。结果：手术后评定：骨盆骨折优20例，良6例；髋臼骨折优6例，良4例。进行4～6个月随访，最后一次标准评定为：优27例，良9例。结论：改良Stoppa入路实施操作安全，创伤较小，能够直接看到对髋臼前柱和四边体复位和固定情况，手术后并发症较少。 　　【关键词】 改良Stoppa入路；骨盆与髋臼骨折；临床应用 　　【中图分类号】R683 【文献标识码】A 【文章编号】2095-1752（2016）34-0028-02 　　Modified Stoppa approach in the clinical application of pelvis and acetabulum fractures Xu Bo 　　Sichuan Province Paper Huaying Can Group General Hospital,Guangan Sichuan,638600,China 　　【Abstract】Objective To study the clinical application of modified Stoppa approach surgery, the feasibility and efficacy of treatment of pelvis and acetabulum fractures. Methods 10 cases of acetabulum fracture and 26 cases of pelvic fractures using modified Stoppa approach surgery, TileC pelvic fractures and acetabulum anterior column fracture combined use of iliac wing auxiliary incision, the use of reconstruction plate fixation in the operation of C arm X-ray machine perspective to evaluate quality of fracture reduction and internal fixation in the situation. Results After the operation, evaluation: of 20 patients with pelvic fractures optimal good 6 cases; Acetabulum fracture, 6 cases, 4 cases were good. For 4-6 months follow-up, standard for one last time: 27 cases, 9 cases good. Conclusion The modified Stoppa approach to implement safety operation, less trauma, can directly see the acetabulum anterior column and quadrilateral volume reduction and fixation, less complications after the operation. 　　【Key words】Modified Stoppa approach; The pelvis and acetabulum fracture;Clinical application 　　1.临床资料与方法 　　1.1 一般资料 　　??组患者36例，男患者22例，女患者14例；年龄在20～60岁之间，平均年龄35岁。骨盆患者26例运用Tile分型：B1型6例，B2型8例，B3型4例，C1-1型4例，C1-2型4例。髋臼骨折10例运用letournel进行分型：前柱骨折4例，横形骨折2例，T形骨折4例。导致损伤的原因有：车祸伤18例，重物砸伤6例，高处坠落伤12例。进行手术的时间为损伤后5～12天，平均7天。患者住院后实施常规行股骨髁上