CAJ | 학술논문

目的：比较改良Stoppa入路与腹股沟入路行髋臼骨折切开复位内固定术的术后并发症、临床功能及骨折复位质量。方法2007年2月至2014年2月收治的共138例患者纳入本研究，根据手术入路不同将患者分为改良Stoppa入路组（经改良Stoppa入路行髋臼骨折切开复位内固定术，共41例）和髂腹股沟入路组（经髂腹股沟入路行髋臼骨折切开复位内固定术，共97例）。比较两组患者的手术时间、出血量（术中+术后引流）、并发症、骨折解剖复位率及临床功能。结果两组患者均成功完成手术，相比髂腹股沟入路组，改良Stoppa入路组患者手术时间较短、出血量较少、骨折解剖复位率较高、临床功能得优率较高（ P﹤0.05）；但两组患者术后并发症、临床优良率等方面比较差异无统计学意义（ P﹥0.05）。结论采用改良Stoppa入路或髂腹股沟入路行髋臼骨折切开复位内固定，可获得相似的临床功能及并发症发生率，但是前者具有手术时间短、失血量低、解剖复位率高等优势。
목적：비교개량Stoppa입로여복고구입로행관구골절절개복위내고정술적술후병발증、림상공능급골절복위질량。방법2007년2월지2014년2월수치적공138례환자납입본연구，근거수술입로불동장환자분위개량Stoppa입로조（경개량Stoppa입로행관구골절절개복위내고정술，공41례）화가복고구입로조（경가복고구입로행관구골절절개복위내고정술，공97례）。비교량조환자적수술시간、출혈량（술중+술후인류）、병발증、골절해부복위솔급림상공능。결과량조환자균성공완성수술，상비가복고구입로조，개량Stoppa입로조환자수술시간교단、출혈량교소、골절해부복위솔교고、림상공능득우솔교고（ P﹤0.05）；단량조환자술후병발증、림상우량솔등방면비교차이무통계학의의（ P﹥0.05）。결론채용개량Stoppa입로혹가복고구입로행관구골절절개복위내고정，가획득상사적림상공능급병발증발생솔，단시전자구유수술시간단、실혈량저、해부복위솔고등우세。
Objective To compare postoperative complications,clinical function,and quality of reduction of the modified stoppa surgical approach and the ilioinguinal surgical approach for open reduction and internal fixation of acetabular fracture. Methods A total of 138 patients were included in this study from February 2007 to February 2014. The patients were divided to Stoppa group(the modified stoppa surgical approach for open reduction and internal fixation of acetabular fracture,n=41) and ilioinguinal group( the modified stoppa surgical approach and the ilioinguinal surgical approach for open reduction and in-ternal fixation of acetabular fracture,n=97),according to different surgical approach. These data were compared between the groups,such as the operative time,blood loss,complications,clinical function,and quality of reduction. Results All sugery were successfully completed. The patients in the stoppa group had a shorter operative time,less blood loss,higher rate of ana-tomic reduction,and higher rate of excellent of clinical function when compared to those in ilioinguinal group(P﹤0. 05). However,there were no significant difference between the stoppa group and ilioinguinal group in term of complications,and rate of good-to-excellent of clinical function(P﹥0. 05). Conclusion The use of modified stoppa surgical approach or the ilio-inguinal surgical approach for acetabular fracture reduction can obtain similar clinical function and incidence of complication, but the modified stoppa surgical approach has the advantage of a shorter operative time,less blood loss,and higher rate of ana-tomic reduction.