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目的 探讨数字化技术辅助下利用 Stoppa 联合髂窝入路治疗复杂髋臼骨折的临床疗效.方法对 2014 年 1 月至 2016 年 10 月我院收治的 11 例复杂髋臼骨折患者进行回顾性分析.髋臼骨折按 Letournel 分型:双柱骨折 6 例、前柱+后半横形骨折 1 例、T 型骨折 2 例、前柱骨折 2 例.本组均采用数字化技术进行术前计划、术中选择 Stoppa 联合髂窝入路进行骨折切开复位内固定术.记录手术时间、术中出血量及输血情况;应用 Matta 标准和 Majeed 评分系统对骨折复位情况和术后功能进行评价.结果 本组均获随访,平均随访时间为 6.8(4~18)个月,均达骨性愈合,平均骨折愈合时间 3.2(2~6)个月.平均手术时间 105(85~240)min,平均出血量 350(200~1200)ml,术中平均输血 400(200~1200)ml.术后骨折复位质量按照 Matta评分标准:解剖复位 7 例、满意复位 3 例、不满意复位 1 例;末次随访按照 Majeed 评分系统:优 7 例、良2 例、可 1 例、差 1 例.结论 数字化技术辅助下利用 Stoppa 联合髂窝入路治疗复杂髋臼骨折,具有个体化、精准化治疗特点,可减少术中出血量,缩短手术时间,提高临床疗效.“,”Objective To investigate the feasibility and effects of modified Stoppa combining with iliac foss approach in treatment of pelvic fractures under the assistance of digital technology. Methods Eleven patients with complex acetabular fracture, from January 2014 to October 2016, were analyzed. Letournel-Judet classification:6 double column fractures, 1 anterior column and half transverse fractures, 2 T-shaped fractures, and 2 anterior column fractures. Preoperative planning with digital technology, intraoperative Stoppa combining with iliac fossa approach, reduction and internal fixation were conducted. Operation time, intraoperative blood loss and blood transfusion were recorded. Matta criteria and Majeed scoring system were applied to evaluate the fracture reduction and postoperative functions. Results Patients were followed up for an average of 6.8 months ( range: 4 - 18 months ). Bony union was achieved in all patients. The average fracture healing time was 3.2 months ( range: 2 - 6 months ). The average operation time was 105 min ( range: 85 - 240 min ); the average blood loss was 350 ml ( range: 200 - 1200 ml ); the average blood transfusion was 400 ml ( range: 200 - 1200 ml ). According to the Matta criteria: 7 cases were excellent, 3 cases were good, 1 case was fair. Majeed scoring system: 7 cases were excellent, 2 cases were good, 1 case was fair and 1 case was poor. Conclusions Modified Stoppa combining with the iliac fosss approach is a good option in the treatment of complex acetabular fracture, providing advantages of being individualized and accurate, less blood loss, shorter operation time and better clinical outcomes.