前方髂窝小切口入路联合有限Pfannenstiel入路内固定术治疗髋臼骨折患者的价值分析OA
Value Analysis of Anterior Iliac Fossa Small Incision Approach Combined with Limited Pfannenstiel Approach for Internal Fixation in the Treatment of Patients with Acetabular Fractures
目的:探讨前方髂窝小切口入路联合有限Pfannenstiel入路内固定术治疗髋臼骨折患者的效果.方法:选取2022年 3月—2024 年 4月盐城市第一人民医院收治的 68例髋臼骨折患者为研究对象,依据随机数字表法将其分为研究组及对照组,各 34例.研究组采用前方髂窝小切口入路联合有限Pfannenstiel入路内固定术治疗,对照组采用传统内固定术治疗.比较两组髋关节功能、手术指标、疼痛程度及并发症发生情况.结果:术后 2周,研究组的Harris髋关节功能评分量表评分为(75.96±5.62)分,高于对照组的(64.27±5.54)分,差异有统计学意义(P<0.05).研究组的手术用时、首次下床时间及住院时间均短于对照组,手术出血量少于对照组,差异均有统计学意义(P<0.05).术后第 1、2、3天,研究组的疼痛数字评分法评分分别为(2.79±0.27)分、(2.24±0.33)分、(1.53±0.20)分,均低于对照组的(3.97±0.36)分、(2.96±0.30)分、(2.68±0.16)分,差异均有统计学意义(P<0.05).研究组的并发症发生率为 8.82%,低于对照组的23.52%,差异有统计学意义(P<0.05).结论:将前方髂窝小切口入路联合有限Pfannenstiel入路内固定术应用于髋臼骨折治疗中,能够促进患者的术后功能恢复,缩短手术时间及住院时间,减少手术出血量,缓解术后疼痛程度,有效降低并发症发生率,具有较高的临床应用价值.
Objective:To investigate the effect of patients with anterior iliac fossa small incision approach combined with limited Pfannenstiel approach for internal fixation in the treatment of acetabular fractures.Methods:A total of 68 patients with acetabular fracture admitted to Yancheng No.1 People's Hospital from March 2022 to April 2024 were selected as the study objects,and were divided into a study group and a control group according to random number table method,with 34 cases in each group.The study group was treated with anterior iliac fossa small incision approach combined with limited Pfannenstiel approach for internal fixation,while the control group was treated with traditional internal fixation.The hip function,surgical indexes,pain degree and the occurrence of complications were compared between the two groups.Results:After the surgery,the Harris Hip Scale score in the study group was(75.96±5.62)points,which was significantly higher than(64.27±5.54)points in the control group,the difference was statistically significant(P<0.05).The operation time,first time out of bed and hospitalization time in the study group were shorter than those in the control group,and the amount of surgical bleeding was less than that in the control group,the differences were statistically significant(P<0.05).On the 1st,2nd and 3rd day after intervention,the pain Numeric Rating Scale scores of the study group were(2.79±0.27)points,(2.24±0.33)points and(1.53±0.20)points,respectively,which were lower than(3.97±0.36)points,(2.96±0.30)points and(2.68±0.16)points of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the study group was 8.82%,which was lower than 23.52%in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of anterior iliac fossa small incision approach combined with limited Pfannenstiel approach in the treatment of patients of acetabular fracture can promote the postoperative functional recovery of patients,shorten the operation time and hospital stay,reduce the amount of surgical bleeding,relieve postoperative pain,and effectively reduce the incidence of complications,which has high clinical application value.
卞荣鹏;王爱飞;朱浩
江苏省盐城市第一人民医院骨科,江苏 盐城 224000江苏省盐城市第一人民医院骨科,江苏 盐城 224000江苏省盐城市第一人民医院骨科,江苏 盐城 224000
医药卫生
髋臼骨折前方髂窝小切口有限Pfannenstiel入路疼痛程度并发症
Acetabular fractureAnterior iliac fossa small incisionLimited Pfannenstiel approachPain degreeComplications
《中国伤残医学》 2025 (6)
45-48,4
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