中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2012年
6期
524-527
,共4页
赵守军%熊文化%庞清江%张前法
趙守軍%熊文化%龐清江%張前法
조수군%웅문화%방청강%장전법
骨盆%骨折固定术,内%手术入路
骨盆%骨摺固定術,內%手術入路
골분%골절고정술,내%수술입로
Pelvis%Fracture fixation,internal%Surgical approach
目的 探讨应用Stoppa手术入路治疗骨盆前环骨折的疗效和可行性.方法 对2008年6月-2011年8月采用改良Stoppa手术入路治疗的21例骨盆前环骨折患者的治疗效果进行总结分析.按Tile分类方法:A2类型7例,B2类型6例,B3类型5例,C2类型3例.均采用Stoppa入路行手术治疗.其中14例采用骨盆前环钢板固定,4例采用骨盆前环钢板加外固定器固定,另外3例则采用骨盆前环钢板和骶髂关节空心加压螺钉固定.应用Matta评分标准和Majeed功能评分系统对骨折复位及术后功能进行评价.结果 Stoppa手术入路切口长度为10～12cm,平均11cm；手术时间70～120min,平均95 min;术中出血量400～1000 ml,平均700ml.依据Matta标准,21例患者骨盆前环骨折均获满意复位,其中15例患者术后得到8～20个月随访,均达骨性愈合.患者术后Majeed评分逐渐提高.结论 Stoppa手术入路具有切口方便直接、手术视野清晰、易于复位、并发症少和恢复快的特点.在手术治疗骨盆前环骨折时,Stoppa人路是一个理想的选择.
目的 探討應用Stoppa手術入路治療骨盆前環骨摺的療效和可行性.方法 對2008年6月-2011年8月採用改良Stoppa手術入路治療的21例骨盆前環骨摺患者的治療效果進行總結分析.按Tile分類方法:A2類型7例,B2類型6例,B3類型5例,C2類型3例.均採用Stoppa入路行手術治療.其中14例採用骨盆前環鋼闆固定,4例採用骨盆前環鋼闆加外固定器固定,另外3例則採用骨盆前環鋼闆和骶髂關節空心加壓螺釘固定.應用Matta評分標準和Majeed功能評分繫統對骨摺複位及術後功能進行評價.結果 Stoppa手術入路切口長度為10～12cm,平均11cm；手術時間70～120min,平均95 min;術中齣血量400～1000 ml,平均700ml.依據Matta標準,21例患者骨盆前環骨摺均穫滿意複位,其中15例患者術後得到8～20箇月隨訪,均達骨性愈閤.患者術後Majeed評分逐漸提高.結論 Stoppa手術入路具有切口方便直接、手術視野清晰、易于複位、併髮癥少和恢複快的特點.在手術治療骨盆前環骨摺時,Stoppa人路是一箇理想的選擇.
목적 탐토응용Stoppa수술입로치료골분전배골절적료효화가행성.방법 대2008년6월-2011년8월채용개량Stoppa수술입로치료적21례골분전배골절환자적치료효과진행총결분석.안Tile분류방법:A2류형7례,B2류형6례,B3류형5례,C2류형3례.균채용Stoppa입로행수술치료.기중14례채용골분전배강판고정,4례채용골분전배강판가외고정기고정,령외3례칙채용골분전배강판화저가관절공심가압라정고정.응용Matta평분표준화Majeed공능평분계통대골절복위급술후공능진행평개.결과 Stoppa수술입로절구장도위10～12cm,평균11cm；수술시간70～120min,평균95 min;술중출혈량400～1000 ml,평균700ml.의거Matta표준,21례환자골분전배골절균획만의복위,기중15례환자술후득도8～20개월수방,균체골성유합.환자술후Majeed평분축점제고.결론 Stoppa수술입로구유절구방편직접、수술시야청석、역우복위、병발증소화회복쾌적특점.재수술치료골분전배골절시,Stoppa인로시일개이상적선택.
Objective To investigate the feasibility and effects of modified Stoppa approach in treatment of anterior pelvic ring fractures.Methods The therapeutic effects of 21 patients with anterior pelvic ring fractures treated through the modified Stoppa approach from June 2008 to August 2011 were summarized and analyzed.According to Tile classification,there were seven patients with type A2 fractures,six with type B2 fractures,five type B3 fractures and three type C2 fractures.Surgical treatment through the modified Stoppa approach included anterior pelvic ring plates for 14 patients,anterior pelvic ring plates and external fixators for four and anterior pelvic ring plates and sacroiliac joint compressed cannulated screws for three.The fracture reduction and post-operative function were assessed by Matta criteria and Majeed system respectively.Results The incision length of the modified Stoppa approach ranged from 10 to 12 cm ( average,11 cm).The operation time ranged from 70 to 120 minutes ( average,95 minutes).The intra-operative blood loss ranged from 400 to 1 000 ml (average,700 ml ).According to the Matta criteria,all 21 patients obtained sound reduction,of whom 15 patients had bony union after 8-20 months follow-up post-operatively.The Majeed score in all patients showed a gradual increase postoperatively.Conclusions The modified Stoppa approach is characterized by convenience and directness in making incisions,clear operation field,easy reduction,few complications and fast recovery and hence is an ideal choice in surgical treatment of anterior pelvic ring fractures.
