于恒飞 冯涛 于桂生 史东雷 王奇

【摘要】 目的：观察腹直肌旁入路治疗髋臼骨折患者的临床效果及对手术时间、切口长度的影响。方法：选取2018年7月-2020年3月山东省菏泽市立医院收治的髋臼骨折患者94例，随机分为两组，对照组采取改良Stoppa入路，研究组采取腹直肌旁入路，比较两组临床疗效、手术指标（手术、住院时间，切口长度及术中出血量）和并发症（切口、尿路感染，切口疝）。结果：研究组临床有效率较对照组高（P<0.05）;研究组各项手术指标均优于对照组（P<0.05）;研究组并发症发生率低于对照组（P<0.05）。结论：髋臼骨折患者采取腹直肌旁入路治疗效果显著，能提高临床疗效，改善手术指标，还能减少并发症发生，应推广应用。

【关键词】 腹直肌旁入路 髋臼骨折 手术指标 并发症

Clinical Effect of Pararectus Approach in the Treatment of Acetabular Fractures and Its Influence on Operation Time and Incision Length/YU Hengfei， FENG Tao， YU Guisheng， SHI Donglei， WANG Qi. //Medical Innovation of China， 2021， 18（34）： -126

[Abstract] Objective： To observe the effect of pararectus approach in the treatment of acetabular fractures and its effect on operation time and incision length. Method： A total of 94 patients with acetabular fractures treated in Heze City Hospital in Shandong Province from July 2018 to March 2020 were selected and randomly divided into two groups. The control group was treated with modified Stoppa approach， and the study group was treated with pararectus approach. The clinical efficacy， operation indexes （operation and hospitalization time， incision length and bleeding volume） and complications （incision infection， urinary tract infection， incision hernia） were compared between the two groups. Result： The clinical effective rate of the study group was higher than that of the control group （P<0.05）; the operative indexes in the study group were better than those in the control group （P<0.05）; the incidence of complications in the study group was lower than that in the control group （P<0.05）. Conclusion： Acetabular fractures in patients with pararectus approach treatment effect is significant， can improve the clinical efficacy， improve the operation index， but also reduce the incidence of complications， should be popularized.

[Key words] Pararectus approach Acetabular fractures Surgical indicators Complications

First-author’s address： Heze City Hospital， Heze 274000， China

doi：10.3969/j.issn.1674-4985.2021.34.029

髋臼骨折是具有极高致残和致死风险的临床常见骨科疾病，一般由于间接或挤压暴力引起，早期患者表现为髋关节疼痛和自身活动受限，髋关节属于重要的人体负重关节，应选择恰当的手术方案改善患者的关节功能[1]。目前临床有很多种手术方式，以往的改良Stoppa和髂腹股沟入路治疗因局限性较大，无法将组织结构有效暴露，导致固定效果达不到预期目标，有研究表明，腹直肌旁入路是一种近期效果比较满意、远期关节功能恢复效果比较理想的手术方式[2]。因此，本研究分析腹直肌旁入路治疗髋臼骨折患者的临床效果及对手术时间、切口长度的影响，现报道如下。

1 资料与方法

1.1 一般资料 选取2018年7月-2020年3月山东省菏泽市立医院收治的髋臼骨折患者94例。……