CAJ | 학술논문

目的：探讨改良后的两窗髂腹股沟入路切开复位内固定治疗髋臼骨折的疗效。方法：选择60例髋臼骨折患者，随机分为两组，每组30例。对照组行标准三窗髂腹股沟入路切开复位内固定治疗，观察组则行改良两窗髂腹股沟入路切开复位内固定治疗，对比两组治疗效果。结果：观察组优良率为96.7％，对照组的为93.3％，差异无统计学意义（ P﹥0.05）。观察组手术用时为（54.7±8.6）min，术中出血量为（234.4±27.9）ml，明显少于对照组的（96.2±9.8）min、（511.9±53.8）ml，差异有统计学意义（P﹤0.05）。结论：改良后两窗髂腹股沟入路切开复位内固定治疗髋臼骨折的疗效确切，操作简单，术中出血量较少，值得推广应用。
목적：탐토개량후적량창가복고구입로절개복위내고정치료관구골절적료효。방법：선택60례관구골절환자，수궤분위량조，매조30례。대조조행표준삼창가복고구입로절개복위내고정치료，관찰조칙행개량량창가복고구입로절개복위내고정치료，대비량조치료효과。결과：관찰조우량솔위96.7％，대조조적위93.3％，차이무통계학의의（ P﹥0.05）。관찰조수술용시위（54.7±8.6）min，술중출혈량위（234.4±27.9）ml，명현소우대조조적（96.2±9.8）min、（511.9±53.8）ml，차이유통계학의의（P﹤0.05）。결론：개량후량창가복고구입로절개복위내고정치료관구골절적료효학절，조작간단，술중출혈량교소，치득추엄응용。
Objective To investigate the two windows groin incision approach improved the clinical efficacy of internal fixation of acetabu-lar fractures. Method 60 cases of acetabular fracture patients were randomly divided into two groups,30 cases of each group. The control group received the standard three windows ilioinguinal open reduction and internal fixation,observation group received a modified two windows ilioinguinal open reduction and internal fixation. Treatment effects of the two groups were observed. Results The observation group excellent rate was 96. 7%,the control group was 93. 3%,no statistically significant difference( P﹥0. 05 ). The observation group surgical time were (54. 7 ± 8. 6)min,surgical blood loss were(234. 4 ± 27. 9)ml,significantly less than the control group(96. 2 ± 9. 8)min,(511. 9 ± 53. 8)ml ( P﹤0. 05). Conclusion Improved after two windows ilioinguinal ORIF program reatment of acetabular fractures,simple operation,less surgi-cal blood loss,worthy of promotion and application.