国际病理科学与临床杂志2017，Vol.37Issue(1)：10-15,6.DOI:10.3978/j.issn.2095-6959.2017.01.003
腹直肌外侧切口入路行拉力螺钉内固定在髋臼前柱骨折中的临床应用
Clinical application of lateral rectus incision by lag screw internal fixation in the treatment of fracture of anterior column of acetabulum
摘要
Abstract
Objective:To analyze the clinical application of lateral rectus incision by lag screw internal fixation in the treatment of fracture of anterior column of acetabulum.Methods:Twenty-two cases of rectus abdominis incision approach lag screw internal fixation were selected from January 2011 to January 2015 in our hospital for treatment as a study group,and in the same period,the other 20 routine ilioinguinal approach surgery patients were selected as a control group.The operation time and a amount of bleeding of the two groups were observed,and the postoperative complications were evaluated,and the effect of fracture reduction and hip function score were evaluated.Results:The operative time and blood loss of patients in the study group [(2.11+0.39) h and (436.72+85.88) mL] were significantly lower than those in control group [(2.99+0.41) h and (688.75+85.85) mL],the differences were statistically significant (P＜0.05);there were no incision infection,deep vein thrombosis formation in the two groups of patients.One case were with sciatic nerve injury symptoms in study group,after 6 weeks of exercise then to be normal,the complication rate was 4.55％ (1/22);in the control group,1 case of incision fat liquefaction,2 cases of lateral femoral cutaneous nerve paralysis,1 case of lower extremity muscle force disorder,2 cases of heterotopic ossification,and total incidence rate of the complications in the control group of patients was 30％ (6/20),which was significantly higher than that of the study group,the difference was statistically significant (x2=4.8873,P=0.0271).the excellent rate of fracture reduction in the study group was 95.45％,while in the control group it was 90.00％,the difference has no statistical significance (x2=0.4699,P=0.4930).Before treatment,Harris score of the hip joint in two groups was no significantly different (68.72±9.18 vs.68.68±9.22,P＞0.05);after treatment,Harris score both significantly increased (P＜0.05),and the improvement of the study group patients were higher than that in the control group (88.19±9.21 vs.79.16±9.24,P＜0.05).The excellent rate of the study group was 95.45％,and of the control group it was 85％.There was no significant difference between the two groups (x2=1.3288,P=0.2490).Conclusion:Lateral rectus incision for lag screw internal fixation in the treatment of acetabular anterior column fracture is reliable,can significantly shorten the operation time,reduce intraoperative blood loss and postoperative complications,which is suitable for long-term clinical application.关键词
腹直肌外侧切口入路/髂腹股沟入路/髋臼前柱骨折/拉力螺钉内固定Key words
lateral incision approach of the rectus superior rectus muscle/external iliac groin approach/acetabular anterior column fractures/lag screw internal fixation引用本文复制引用
黄启治,赖伟强,陈楚群..腹直肌外侧切口入路行拉力螺钉内固定在髋臼前柱骨折中的临床应用[J].国际病理科学与临床杂志,2017,37(1):10-15,6.基金项目
惠州市科学技术局(20150802). This work was supported by Huizhou Municipal Science and Technology Bureau (20150802),P.R.China. （20150802）
