CAJ | 학술논문

目的：探讨高位髂腹股沟入路治疗累及四方区髋臼骨折的疗效。方法将28例髋臼骨折患者按照入院时间的不同分为2组。观察组16例患者，给予高位髂腹股沟入路手术；对照组12例患者，给予传统髂腹股沟入路手术。比较2组手术情况、骨折复位情况、髋关节功能恢复情况、术后并发症。结果观察组和对照组术中出血量、切口长度、手术时间等手术情况比较差异无统计学意义(P>0.05)。观察组骨折复位满意率及髋关节功能优良率优于对照组(P<0.05)，髋关节功能评分明显高于对照组(P<0.05)。观察组和对照组总的并发症发生率分别为12.50%、16.67%，组间比较无统计学差异(P>0.05)。结论累及四方区髋臼骨折术中采用高位髂腹股沟入路可以提高骨折复位效果，有效改善患者髋关节功能，且安全性较高，是一种治疗累及四方区髋臼骨折较为理想的入路途径。
목적：탐토고위가복고구입로치료루급사방구관구골절적료효。방법장28례관구골절환자안조입원시간적불동분위2조。관찰조16례환자，급여고위가복고구입로수술；대조조12례환자，급여전통가복고구입로수술。비교2조수술정황、골절복위정황、관관절공능회복정황、술후병발증。결과관찰조화대조조술중출혈량、절구장도、수술시간등수술정황비교차이무통계학의의(P>0.05)。관찰조골절복위만의솔급관관절공능우량솔우우대조조(P<0.05)，관관절공능평분명현고우대조조(P<0.05)。관찰조화대조조총적병발증발생솔분별위12.50%、16.67%，조간비교무통계학차이(P>0.05)。결론루급사방구관구골절술중채용고위가복고구입로가이제고골절복위효과，유효개선환자관관절공능，차안전성교고，시일충치료루급사방구관구골절교위이상적입로도경。
Objective To study effect of high ilioinguinal approach in treatment of acetabular fractures involving quadrilateral plate. Methods 28 cases of acetabular fractures were randomly divided into two groups according to admission time. 16 patients in the observation group were given high ilioinguinal approach operation. 12 patients in the control group were treated with traditional ilioinguinal approach op-eration. Operation condition, fracture reduction, the hip function recovery and postoperative complications of the two groups were compared. Results The amount of bleeding, the length of incision, operation time and operation conditions of the two groups had no significant differ-ence (P>0. 05). The satisfactory fracture reduction rate of observation group was higher than the control group (P<0. 05). Hip function score of observation group was significantly higher than that of the control group (P<0. 05). In observation group, the excellent rate of hip joint function was better than that of the control group (P<0. 05). The incidence rate of complications in the observation group and the con-trol group were 12. 50% and 16. 67% respectively, and there was no significant difference between the two groups (P>0. 05). Conclusion High ilioinguinal approach can improve the fracture reduction effect, effectively improve the hip joint function in patients, and it has higher security which is a kind of ideal treatment approach for acetabular fractures involving quadrilateral plate.