探讨髋臼骨折手术前路入路的研究现状
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摘要
随着经济发展,我国城市出现了明显的发展,加之社会老龄化的不断加深,临床中髋臼骨折的发生率出现了明显的提高,目前临床中主要采用手术的方式对患者进行治疗,目前临床中针对髋臼骨折所能够采用的入路方式较多,所以应当根据患者的情况以及医院的能力选择合适的方式进行入路工作,以保证患者治疗工作的顺利进行,降低并发症发生的几率。在传统的手术中一般会选择广泛的显露作为展现视野的手段,但是在实践中则发现广泛的显露会导致患者并发症发生率以及死亡率出现明显的提高,不利于临床治疗以及康复工作,因此在临床中应当在保证手术视野的前提下,采用创伤较小的入路,以保证患者的健康。本文就对目前临床中髋臼骨折手术前路入路的相关情况进行了阐述分析。
With the development of the economy, China's cities have developed significantly. In addition, the aging of the society has deepened, and the incidence of acetabular fractures has increased significantly in clinical practice. At present, the patients are mainly treated by surgery. At present, there are many ways to adopt acetabular fractures in clinical practice, so the appropriate way should be selected according to the patient's condition and the ability of the hospital to ensure the smooth progress of the patient's treatment and reduce the complications. probability. In traditional surgery, extensive exposure is generally chosen as a means of visualizing the field of vision, but in practice it has been found that extensive exposure leads to a significant increase in the incidence of complications and mortality, which is detrimental to clinical treatment and rehabilitation. In the clinical situation, under the premise of ensuring the surgical field of vision, a less traumatic approach should be adopted to ensure the health of the patient. This article analyzes the current situation of anterior approach for acetabular fractures in clinical practice.
With the development of the economy, China's cities have developed significantly. In addition, the aging of the society has deepened, and the incidence of acetabular fractures has increased significantly in clinical practice. At present, the patients are mainly treated by surgery. At present, there are many ways to adopt acetabular fractures in clinical practice, so the appropriate way should be selected according to the patient's condition and the ability of the hospital to ensure the smooth progress of the patient's treatment and reduce the complications. probability. In traditional surgery, extensive exposure is generally chosen as a means of visualizing the field of vision, but in practice it has been found that extensive exposure leads to a significant increase in the incidence of complications and mortality, which is detrimental to clinical treatment and rehabilitation. In the clinical situation, under the premise of ensuring the surgical field of vision, a less traumatic approach should be adopted to ensure the health of the patient. This article analyzes the current situation of anterior approach for acetabular fractures in clinical practice.
引文
[1]刘世伟,李经堂,邱鹏,等.髋臼骨折手术前路入路的研究现状[J].江西医药,2017,52(11):1242-1244.
[2]张斌飞,韩爽,樊伟,等.髋臼骨折前方手术入路选择的系统文献综述[J].中华骨科杂志,2017,37(13):801-809.
[3]孙永建,李伟成,白伟坚,等.数字化技术辅助下利用改良Stoppa联合髂窝入路治疗复杂髋臼骨折的临床研究[J].中国骨与关节杂志,2017,6(11):16-19.
[4]康锦,马林,郑铁钢,等.改良Kocher-Langenbeck入路在髋臼骨折手术中的应用[J].中华创伤骨科杂志,2018,20(3):199.
[5]李宇能.老年髋臼骨折治疗的现状与进展[J].骨科临床与研究杂志,2017,2(5):318-320.
[6]刘一海,董辉辉,韩健,等.改良Stoppa入路手术治疗骨盆、髋臼骨折的效果及并发症观察[J].临床医学研究与实践,2018,3(14):51-52.
[7]郭洪章.改良Stoppa入路治疗骨盆髋臼骨折[J].临床骨科杂志,2017,20(6):704-706.
[8]杜书军.改良Stoppa入路与髂腹股沟入路行髋臼骨折切开复位内固定术的对比分析[J].中国伤残医学,2017,25(1):24-25.
[9]陈晓,马坤龙,徐海涛,等.改良Stoppa入路与髂腹股沟入路治疗骨盆、髋臼骨折的Meta分析[J].中国组织工程研究,2017,21(19):3108-3116.
[10]赵飞,孟国林,毕龙,等.累及四边体的髋臼骨折的手术入路[J].中国骨与关节损伤杂志,2017,32(2):222-224.
[11]解冰,田竞,刘欣伟,等.常规髋臼手术入路联合大转子滑移截骨治疗复杂髋臼骨折疗效分析[J].创伤与急危重病医学,2017,5(2):108-112.
[12]聂志刚,彭昊.髋臼骨折手术患者创伤性关节炎防治的研究进展[J].中国矫形外科杂志,2018,26(8):720-723.
[13]王浦,肖鹏,吴学建,等.经旁正中入路与正中入路治疗髋臼骨折的比较[J].中国矫形外科杂志,2018,26(4):310-314.
[14]陈小花,李建炜,钟华,等.经腹直肌旁入路治疗复杂性骨盆髋臼骨折的围手术期观察及护理[J].中国伤残医学,2017,25(13):26-28.
[15]李宇能,孙旭,朱仕文,等.切开复位内固定术治疗老年髋臼骨折的中期疗效观察[J].中国骨与关节杂志,2017,6(3):174-179.
[2]张斌飞,韩爽,樊伟,等.髋臼骨折前方手术入路选择的系统文献综述[J].中华骨科杂志,2017,37(13):801-809.
[3]孙永建,李伟成,白伟坚,等.数字化技术辅助下利用改良Stoppa联合髂窝入路治疗复杂髋臼骨折的临床研究[J].中国骨与关节杂志,2017,6(11):16-19.
[4]康锦,马林,郑铁钢,等.改良Kocher-Langenbeck入路在髋臼骨折手术中的应用[J].中华创伤骨科杂志,2018,20(3):199.
[5]李宇能.老年髋臼骨折治疗的现状与进展[J].骨科临床与研究杂志,2017,2(5):318-320.
[6]刘一海,董辉辉,韩健,等.改良Stoppa入路手术治疗骨盆、髋臼骨折的效果及并发症观察[J].临床医学研究与实践,2018,3(14):51-52.
[7]郭洪章.改良Stoppa入路治疗骨盆髋臼骨折[J].临床骨科杂志,2017,20(6):704-706.
[8]杜书军.改良Stoppa入路与髂腹股沟入路行髋臼骨折切开复位内固定术的对比分析[J].中国伤残医学,2017,25(1):24-25.
[9]陈晓,马坤龙,徐海涛,等.改良Stoppa入路与髂腹股沟入路治疗骨盆、髋臼骨折的Meta分析[J].中国组织工程研究,2017,21(19):3108-3116.
[10]赵飞,孟国林,毕龙,等.累及四边体的髋臼骨折的手术入路[J].中国骨与关节损伤杂志,2017,32(2):222-224.
[11]解冰,田竞,刘欣伟,等.常规髋臼手术入路联合大转子滑移截骨治疗复杂髋臼骨折疗效分析[J].创伤与急危重病医学,2017,5(2):108-112.
[12]聂志刚,彭昊.髋臼骨折手术患者创伤性关节炎防治的研究进展[J].中国矫形外科杂志,2018,26(8):720-723.
[13]王浦,肖鹏,吴学建,等.经旁正中入路与正中入路治疗髋臼骨折的比较[J].中国矫形外科杂志,2018,26(4):310-314.
[14]陈小花,李建炜,钟华,等.经腹直肌旁入路治疗复杂性骨盆髋臼骨折的围手术期观察及护理[J].中国伤残医学,2017,25(13):26-28.
[15]李宇能,孙旭,朱仕文,等.切开复位内固定术治疗老年髋臼骨折的中期疗效观察[J].中国骨与关节杂志,2017,6(3):174-179.