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评估髋臼骨折的手术疗效及相关因素 |
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【摘要】 目的 评估髋臼骨折的手术疗效及影响手术疗效的相关因素。方法 回顾整理1999年3月至2004年10月期间63 例因髋臼骨折在我院行手术治疗患者的流行病学及并发症资料。结果 52 例患者(82.54％)至少合并1个其他部位的损伤。14 例患者(22.22％)有坐骨神经损伤表现。29 例患者(46.03％)有术后并发症但大多数没有影响手术效果。再手术率4％。59 例患者(93.65％)有门诊随访和X线片复查结果，平均随访时间为2年4个月。44 例患者(69.84％)的疗效为优/好。结论 疗效优/好的与早期手术和解剖复位等因素相关。疗效差的与手术延迟、复位失败或内固定不牢靠以及受伤时合并股骨头骨折等因素相关。
【关键词】 髋臼骨折；解剖复位；内固定
Evaluation of the Outcome of Operative Management of Acetabular Fractures and Related Factors
LI Ning，DU Yuanli，LIANG Jie，et al
(Department of Orthopaedics The First People′s Hospital of Yichang City，Yichang 443000，China)
Abstract：Objective The aim of this study was to evaluate the outcome of operative management of acetabular fractures and relating factors.Methods We reviewed the epidemiology and complications of 63 patients who had operative treatment for acetabular fracture undertaken at our hospital from May 1999 to October 2004.Results Fiftytwo patients(82.5％) had an injury of at least one other system.Fourteen patients(22.22％) had a sciatic nerve injury on presentation.Twentynine patients(46.03％) had a postoperative complication，but this did not affect the outcome in the majority.The reoperation rate was 4％.Fiftynine patients(93.65％) had clin[1] [2] [3] [4] 下一页
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