改良Stoppa入路与髂腹股沟入路治疗髋臼骨折的疗效比较的中期报告.docxVIP

改良Stoppa入路与髂腹股沟入路治疗髋臼骨折的疗效比较的中期报告 摘要： 目的：比较Stoppa入路和髂腹股沟入路在治疗髋臼骨折中的疗效。方法：收集2015年至2018年在我院接受手术治疗的髋臼骨折患者，根据手术方式分为Stoppa组和髂腹股沟组，比较两组患者手术时间、术中出血量、手术并发症、住院天数等指标。结果：共纳入患者80例，其中Stoppa组40例，髂腹股沟组40例。两组手术时间和出血量差异无统计学意义（P.05）。术后并发症方面，Stoppa组发生1例肠梗阻，髂腹股沟组发生3例感染病例。住院天数Stoppa组为(15.2±3.1)天，髂腹股沟组为(18.6±2.8)天，差异有统计学意义（P.05）。结论：Stoppa入路治疗髋臼骨折具有手术创伤小、住院时间短等优点，且其手术并发症相对较少。因此，相较于髂腹股沟入路，Stoppa入路是治疗髋臼骨折的一种有效方法。 关键词：Stoppa 入路；髂腹股沟入路；髋臼骨折；疗效比较 Abstract: Objective: To compare the therapeutic effects of Stoppa approach and Ilioinguinal approach in the treatment of acetabular fractures. Methods: From 2015 to 2018, we collected patients with acetabular fractures who underwent surgical treatment in our hospital, and divided them into Stoppa group and Ilioinguinal group according to the surgical methods. The operation time, intraoperative blood loss, postoperative complications, hospital stay and other indicators were compared between the two groups. Results: A total of 80 patients were included, including 40 patients in the Stoppa group and 40 patients in the Ilioinguinal group. There was no statistical difference in operation time and blood loss between the two groups (P.05). In terms of postoperative complications, 1 case of intestinal obstruction occurred in the Stoppa group, and 3 cases of infection occurred in the Ilioinguinal group. The hospitalization days was (15.2±3.1) days in the Stoppa group and (18.6±2.8) days in the Ilioinguinal group, and the difference was statistically significant (P.05). Conclusion: Stoppa approach has the advantages of less surgical trauma and shorter hospital stay in the treatment of acetabular fractures, and its surgical complications are relatively few. Therefore, compared with the Ilioinguinal approachStoppa approach is an effective method for the treatment of acetabular fractures. Keywords: Stoppa approach; Ilioinguinal approach; acetabular fracture; therapeutic effect comparison.