CAJ | 학술논문

目的探讨下腹正中切口入路(改良Stoppa入路)治疗骨盆髋臼骨折的手术方法和临床效果.方法 2008年1月至2012年7月采用改良Stoppa入路切开复位内固定法治疗骨盆髋臼骨折患者24例,其中男22例,女2例,年龄22 ～50岁.骨折均应用单独或联合重建钢板固定.结果所有骨折达到解剖或满意复位,皮肤切口长度8～13 cm,平均(10.0±1.6)cm；手术时间60 ～ 120 min,平均(80±15) min；出血量300 ～ 1000 ml平均出血(600±136)ml.伤口均甲级愈合,随访时间2～ 48个月,无手术并发症,功能结果均满意,所有患者家庭生活满意.结论改良的Stoppa入路切开复位内固定治疗骨盆髋臼骨折,术后可以获得良好的放射学及临床结果,并发症少.
목적 탐토하복정중절구입로(개량Stoppa입로)치료골분관구골절적수술방법화림상효과.방법 2008년1월지2012년7월채용개량Stoppa입로절개복위내고정법치료골분관구골절환자24례,기중남22례,녀2례,년령22 ～50세.골절균응용단독혹연합중건강판고정.결과 소유골절체도해부혹만의복위,피부절구장도8～13 cm,평균(10.0±1.6)cm；수술시간60 ～ 120 min,평균(80±15) min；출혈량300 ～ 1000 ml평균출혈(600±136)ml.상구균갑급유합,수방시간2～ 48개월,무수술병발증,공능결과균만의,소유환자가정생활만의.결론 개량적Stoppa입로절개복위내고정치료골분관구골절,술후가이획득량호적방사학급림상결과,병발증소.
Objective To evaluate operative method and outcome through a low midline incision(modified Stoppa) approach in treatment of pelvic and acetabular fractures.Methods All 24 consecutive patients with pelvic or acetabular fracture who were treated with modified Stoppa approach for pelvic or acetabular fracture fixation From Feburary 2008 to March 2012 were retrospectively analyzed.Ten patients were with a pelvic ring injury not involving the acetabular joint and eight patients with a combined fracture,two patients with acetabular fractures were fixed with reconstruction plate.Results Anatomic or satisfactory reduction was achieved in all fractures.The average incision length of the Stoppa was (10.0 ± 1.6) cm (8 to 13 cm),the mean operation time and blood loss were (80 ±15)min (60 to 120 min)and (600 ± 136)ml (300 to 1000 ml) respectively.All cases were followed up 3 to 48months showing satisfactory functional results and no operative complications.All patients satisfied with family life.Conclusions Open reduction and internal fixation of plvic and acetabular fractures through the modified Stoppa approach may have good postoperative radiological and clinical outcomes and have less complications.This is a method of choice for patients with combined trauma with internal organ damage and patients with both side pelvic bone fracture.