Abstract: ObjectiveTo compare the effect of lateral rectus abdominis incision approach combined threedimensional digital model and traditional iliac groin approach for the treatment of acetabular pelvic fractures.MethodsA total of 118 patients with acetabular pelvic fractures were enrolled in our hospital from January 2015 to March 2017. They were divided into two groups according to random digits table with 59 patients for each group: The observation group was treated by lateral rectus abdominis incision approach combined with 3D digital model reconstruction, and the control group was performed surgery by traditional iliac groin approach. The operation time, intraoperative blood loss, normal activity time and postoperative complication incidence was compared between the two groups. The clinical result was evaluated by Majeed SA scoring system at last followup.ResultsCompare to the control group, the operation time was shorter, the intraoperative blood loss was less and the normal activity time was earlier in the observation group, and the difference was statistically (P>0.05). All 118 cases were followed up for 3 months. The curative effect was evaluated according to Majeed SA score: The observation group was excellent in 43 cases, good in 8 cases, in 6 cases and poor in 2 cases, with an excellent rate of 86.4%; The control group was excellent in 32 cases, good 16 cases, middle 7 cases, 4 poor cases， with an excellent rate of 81.4%； And there was no statistical difference in the excellent rate between the two groups (P>0.05). There were no internal fixation or prosthesis loosening, rupture, coxa varus and deep vein thrombosis in both groups after operation. No serious complications were found in the observation group, but 5 cases (8.5%) in the control group, including 1 case of hypostatic pneumonia, 1 case of deep venous thrombosis of the lower extremity, 1 case of pain in the surgical area and 2 cases of delayed union. There was statistical difference in complication rate between the two groups （χ2=5.693, P=0.001）.ConclusionThe lateral rectus abdominis incision approach and threedimensional digital model reconstruction can shorten the operation time and the postoperative normal activity time, reduce the amount of bleeding, the incidence of complications and the risk of operation, and be beneficial to postoperative functional rehabilitation in the treatment of ipsilateral acetabular pelvic fracture.
杨国俊，石育芬，岑怡彪，施土河，林文静，陈国清，陈阳. 腹直肌外侧切口入路及三维数字化模型在同侧髋臼骨盆骨折的临床应用[J]. 中国现代手术学杂志, 2018, 22(3): 188-191.
YANG Guojun, SHI Yufen, CEN Yibiao, SHI Tuhe, LIN Wenjing, CHEN Guoqing, CHEN Yang. Lateral Rectus Abdominis Incision Approach Combined Threedimensional Digital Model in the Treatment of Ipsilateral Acetabular Pelvic Fractures. Chinese Journal of Modern Operative Surgery, 2018, 22(3): 188-191.
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2018, Vol. 22 
