CAJ | 학술논문

目的：探讨手术治疗髋臼骨折的临床疗效，并对相关因素进行分析。方法分别采用K-L入路、髂腹股沟入路、前后联合入路行切开复位骨盆重建钢板、螺钉内固定治疗48例髋臼骨折患者。结果术后按Matta影像学评分，解剖复位28例，满意复位14例，不满意复位6例。患者均获随访，时间12~58个月。按改良的Merle d’Aubigné和Postel评分标准：优28例，良9例，可7例，差4例。简单骨折和复合骨折临床优良率分别为94.4%和66.7%，解剖复位和非解剖复位的临床优良率分别为96.4%和50%，差异均有统计学意义( P<0.05)。结论手术治疗髋臼骨折可获得满意的疗效，骨折的复位质量、骨折类型与疗效密切相关。
목적：탐토수술치료관구골절적림상료효，병대상관인소진행분석。방법분별채용K-L입로、가복고구입로、전후연합입로행절개복위골분중건강판、라정내고정치료48례관구골절환자。결과술후안Matta영상학평분，해부복위28례，만의복위14례，불만의복위6례。환자균획수방，시간12~58개월。안개량적Merle d’Aubigné화Postel평분표준：우28례，량9례，가7례，차4례。간단골절화복합골절림상우량솔분별위94.4%화66.7%，해부복위화비해부복위적림상우량솔분별위96.4%화50%，차이균유통계학의의( P<0.05)。결론수술치료관구골절가획득만의적료효，골절적복위질량、골절류형여료효밀절상관。
Objective To investigate the clinical curative effect of surgical treatment of acetabulum fracture, and to analysis the related factors. Methods A total of 48 patients with fracture of acetabulum were treated with Kocher-Langenbeck approach, iliac inguinal approach, joint into the road line before and after pelvic reconstruction plate ( ORIF) and screw internal fixation. Results According to the Matta imaging score, 28 cases got anatomical reat-tachment, 14 satisfactory reattachment, and 6 poor reattachment. All the patients received a follow-up from 12 to 58 months. According to the improved Merle d’Aubigné and Postel rating standards, 28 cases were excellent, 9 good,7 fair, and 4 poor. Simple fractures clinical excellent-good rate was 94. 4% and composite fractures clinical excellent-good rate was 66. 7%, anatomy reset and non anatomy reset of clinical excellent-good rate were 96. 4% and 50% re-spectively, these difference comparison had statistical significance ( P<0. 05 ) . Conclusions Surgical treatment of acetabulum fracture can obtain satisfactory curative effect, the quality of fracture reduction and fracture type are close-ly related with curative effect.