改良Stoppa入路在骨盆骨折治疗中临床效果分析.docVIP

改良Stoppa入路在骨盆骨折治疗中临床效果分析 　　[摘要]目的 探讨改良Stoppa入路在骨盆骨折治疗中的临床效果。方法 选取我院2014年5月～2016年12月收治的60例骨盆骨折患者作为研究对象，随机分为A组和B组，各30例。A组行髂腹股沟入路，B组行改良Stoppa入路。比较两组的手术相关指标及术后并发症发生率。结果 B组的手术时间、住院时间、切口长度短于A组，术中出血量少于A组，差异有统计学意义（P0.05）。B组的并发症发生率为3.33%，低于A组的36.67%，差异有统计学意义（P0.05）。结论 改良Stoppa入路在骨盆骨折治疗中的临床效果显著，值得临床推广应用。 　　[关键词]骨盆骨折；手术时间；术中出血量；并发症发生率 　　[中图分类号] R683.3 [文献标识码] A [文章编号] 1674-4721（2017）04（c）-0059-03 　　[Abstract]Objective To explore the clinical effect of improved Stoppa approach in the treatment of pelvic fracture.Methods 60 patients with pelvic fractures from May 2014 to December 2016 admitted in our hospital were selected as research objects.They were randomly divided into group A and group B，30 cases in each group.In group A，iliac groin approach was used，while in group B，improved Stoppa approach was applied.The relevant surgical indexes and the incidence rate of postoperative complications in the two groups were compared.Results The operation time，hospitalization time，incision length in group B was shorter than that in group A，and the amount of intraoperative bleeding in group B was less than that in group A，with significant difference （P0.05）.The incidence rate of complication in group B was 3.33%，which was lower than 36.67% in group A，with significant difference （P0.05）.Conclusion Improved Stoppa approach is effective in the treatment of pelvic fracture and it is worthy of clinical promotion and application. 　　[Key words]Pelvic fracture；Operation time；Intraoperative blood loss；Incidence rate of complication 　　骨盆骨折为临床中常见骨科疾病[1]，保守治疗效果较差，故临床中多采取手术治疗，其手术切口及复位质量对患者术后的预后情况有较大影响[2]，在手术过程中选择合适的入路，予以适当的切口可提高手术的成功率，改善其预后情况[3-4]。本研究旨在探讨改良Stoppa入路在骨盆骨折治疗中的临床效果，现报道如下。 　　1资料与方法 　　1.1一般资料 　　选取我院2014年5月～2016年12月收治的60例骨盆骨折患者作为研究对象。纳入标准：①经MRI、CT等诊断确诊为骨盆骨折患者；②无手术禁忌证患者；③意识清楚、无认知功能障碍患者；④愿意接受治疗、随访患者。排除标准：①凝血功能障碍患者；②严重肝肾功能不全患者；③认知功能障碍且意识不清患者；④血管神经损伤者；⑤不愿接受治疗、随访的患者。采取信封式随机分组法将入选患者分为A组和B组，各30例。A组中，男性20例，女性10例；年龄为24～69岁，平均（45.88±4.12）岁；致伤因素：交通事故伤者17例，高空坠落伤者10例，碾压伤者3例。B组中，男性22例，女性8例；年龄为24～7