中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
7期
1203-1204
,共2页
骨折%髋臼%骨折固定术,内
骨摺%髖臼%骨摺固定術,內
골절%관구%골절고정술,내
Acetabular%Fractures%Fracture fixation,internal
目的 探讨手术治疗髋臼骨折的临床疗效.方法 髋臼骨折38例按照Letournel和Judet分型方法 进行分型.手术入路:经Kocber-Langenbeck切口30例,经髂腹股沟切口7例,采用联合切口1例.结果 解剖复位(移位<1 mm)30例,满意复位(移位2～3 mm)6例,不满意复位(移位>3 mm)2例.38例患者均得到随访,随访时间6个月至4年,平均2.1年.按D,Aubigne和Postel髋关节评分标准评定,优31例,良5例,尚可1例,差1例,优良率81.5%.结论 正确分析骨折移位和类型、选择适当的手术路径是提高髋臼骨折治疗效果的重要保证,手术疗效与骨折复位质量密切相关.
目的 探討手術治療髖臼骨摺的臨床療效.方法 髖臼骨摺38例按照Letournel和Judet分型方法 進行分型.手術入路:經Kocber-Langenbeck切口30例,經髂腹股溝切口7例,採用聯閤切口1例.結果 解剖複位(移位<1 mm)30例,滿意複位(移位2～3 mm)6例,不滿意複位(移位>3 mm)2例.38例患者均得到隨訪,隨訪時間6箇月至4年,平均2.1年.按D,Aubigne和Postel髖關節評分標準評定,優31例,良5例,尚可1例,差1例,優良率81.5%.結論 正確分析骨摺移位和類型、選擇適噹的手術路徑是提高髖臼骨摺治療效果的重要保證,手術療效與骨摺複位質量密切相關.
목적 탐토수술치료관구골절적림상료효.방법 관구골절38례안조Letournel화Judet분형방법 진행분형.수술입로:경Kocber-Langenbeck절구30례,경가복고구절구7례,채용연합절구1례.결과 해부복위(이위<1 mm)30례,만의복위(이위2～3 mm)6례,불만의복위(이위>3 mm)2례.38례환자균득도수방,수방시간6개월지4년,평균2.1년.안D,Aubigne화Postel관관절평분표준평정,우31례,량5례,상가1례,차1례,우량솔81.5%.결론 정학분석골절이위화류형、선택괄당적수술로경시제고관구골절치료효과적중요보증,수술료효여골절복위질량밀절상관.
Objective To investigate the clinical effect of surgical treatment of acetabular fractures. Meth-ods According to Letoumel and Judet typing, 17 cases of posterior wall fractures, 5 cases of transverse fractures, 3 cases of anterior wall fractures, 2 cases of anterior column fractures,5 cases of transverse and posterior wall fractures, 2 cases of posterior column and wall fractures, 2 cases of T-type fractures, 1 case of anterior and hemi-transverse fractures and 1 case of fractures of both column). Kocher Langenbeck (K-L) approach was applied in 30 cases, ilio-inguinal approach in 7, and combined approaches (K-L plus ilioinguinal) in 1. Results According to Matta evalua-tion, anatomical reduction(displace < 1 mm) was applied in 30 patients. Satisfactory reduction(displace 2～3 mm) was attained in 6 patients, unsatisfactory reduction(displace >3 mm) was in 2 patients. 38 patients were followed up for 6～48 months (mean: 25 months). The hip function was evaluated according to the modified Postel-D, Aubigne score and rated as excellence in 31 patients(81.5%), good in 5 patients(13.1%), fair in 1 patient(2.6%) and poor in 1 petient(2.6%). The excellent and good rate was 81.5%. Conclusions It is the important guarantee to elevate the therapeutic efficacy of acetabular fracture that shoud be correcdy analyze the fracture displacement and type, choose proper surgical approach, have good restitution implement and operate at the right moment. The quality of surgical reduction has a close correlation with the clinical results.
