中华创伤骨科杂志
中華創傷骨科雜誌
중화창상골과잡지
CHINESE JOURNAL OF ORTHOPAEDIC TRAUMA
2011年
9期
822-823
,共2页
骨盆%骨折%骶髂关节%骨折固定术,内
骨盆%骨摺%骶髂關節%骨摺固定術,內
골분%골절%저가관절%골절고정술,내
Pelvis%Fractures%Sacroiliac joint%Fracture fixation,internal
目的探讨经后侧入路手术治疗骨盆新月形骨折的疗效。 方法 2007年4月至2010年1月采用经后侧入路手术治疗12例骨盆新月形骨折患者，男8例，女4例；年龄21 ～55岁，平均31.3岁；左侧6例，右侧6例。致伤原因：交通伤8例，高处摔伤3例，重物压伤1例；对于骨盆，均为侧方的挤压暴力。骨折根据Tile分型：B2.1型8例，B2.2型4例。12例患者均采用经后侧入路行切开复位内固定治疗。受伤至手术时间为3～9d，平均6.2d。记录手术时间、术中失血量、手术纠正骨盆后环骨折移位情况、骨折愈合时间及Hannover骨盆评分。 结果本组患者手术时间平均为(172.5±34.1)min(120 ～240 min)，手术失血量平均为(412.5±128.1) mL(250 ～700 mL)，手术纠正移位平均为(11.7±4.6) mm(6～21 mm)，12例患者复位结果均为优。10例患者术后获12 ～20个月（平均16.3个月）随访。X线片示所有患者骨折均获愈合，愈合时间平均为(3.1±0.3)个月(3～4个月)，无骨折复位丢失及内固定失效发生。按照Hannover骨盆评分标准评定疗效：临床症状恢复：优7例，良3例；重返社会能力：完全重返8例，部分重返2例。 结论经后侧入路手术治疗骨盆新月形骨折是一种较好的选择，可以取得良好疗效。
目的探討經後側入路手術治療骨盆新月形骨摺的療效。 方法 2007年4月至2010年1月採用經後側入路手術治療12例骨盆新月形骨摺患者，男8例，女4例；年齡21 ～55歲，平均31.3歲；左側6例，右側6例。緻傷原因：交通傷8例，高處摔傷3例，重物壓傷1例；對于骨盆，均為側方的擠壓暴力。骨摺根據Tile分型：B2.1型8例，B2.2型4例。12例患者均採用經後側入路行切開複位內固定治療。受傷至手術時間為3～9d，平均6.2d。記錄手術時間、術中失血量、手術糾正骨盆後環骨摺移位情況、骨摺愈閤時間及Hannover骨盆評分。 結果本組患者手術時間平均為(172.5±34.1)min(120 ～240 min)，手術失血量平均為(412.5±128.1) mL(250 ～700 mL)，手術糾正移位平均為(11.7±4.6) mm(6～21 mm)，12例患者複位結果均為優。10例患者術後穫12 ～20箇月（平均16.3箇月）隨訪。X線片示所有患者骨摺均穫愈閤，愈閤時間平均為(3.1±0.3)箇月(3～4箇月)，無骨摺複位丟失及內固定失效髮生。按照Hannover骨盆評分標準評定療效：臨床癥狀恢複：優7例，良3例；重返社會能力：完全重返8例，部分重返2例。 結論經後側入路手術治療骨盆新月形骨摺是一種較好的選擇，可以取得良好療效。
목적탐토경후측입로수술치료골분신월형골절적료효。 방법 2007년4월지2010년1월채용경후측입로수술치료12례골분신월형골절환자，남8례，녀4례；년령21 ～55세，평균31.3세；좌측6례，우측6례。치상원인：교통상8례，고처솔상3례，중물압상1례；대우골분，균위측방적제압폭력。골절근거Tile분형：B2.1형8례，B2.2형4례。12례환자균채용경후측입로행절개복위내고정치료。수상지수술시간위3～9d，평균6.2d。기록수술시간、술중실혈량、수술규정골분후배골절이위정황、골절유합시간급Hannover골분평분。 결과본조환자수술시간평균위(172.5±34.1)min(120 ～240 min)，수술실혈량평균위(412.5±128.1) mL(250 ～700 mL)，수술규정이위평균위(11.7±4.6) mm(6～21 mm)，12례환자복위결과균위우。10례환자술후획12 ～20개월（평균16.3개월）수방。X선편시소유환자골절균획유합，유합시간평균위(3.1±0.3)개월(3～4개월)，무골절복위주실급내고정실효발생。안조Hannover골분평분표준평정료효：림상증상회복：우7례，량3례；중반사회능력：완전중반8례，부분중반2례。 결론경후측입로수술치료골분신월형골절시일충교호적선택，가이취득량호료효。
ObjectiveTo explore the efficacy of posterior approach in treatment of crescent pelvic fracture.MethodsBetween April 2007 and January 2010, 12 patients with crescent pelvic fracture were treated via posterior approach at our department. They were 8 men and 4 women, aged from 21 to 55 years (average, 31.3 years). Six left and 6 right sides were affected. The fractures were caused by a traffic accident in 8 cases, high falling in 3 cases and heavy weight crushing in one. By Tile classification, there were 8 cases of type B2. 1 and 4 cases of B2.2. The time from injury to operation was 3 to 9 days, with an average of 6. 2 days. They were treated with open reduction and internal fixation via the posterior approach. Operation time,intraoperative blood loss, postoperative loss of pelvic ring reduction, fracture healing time and Hannover pelvic outcome scoring were documented.ResultsThe average operation time was 172.5 ± 34. 1 minutes(from 120 to 240 minutes) . The average blood loss was 412.5 ±- 128.1 mL(from 250 to 700 mL) . The average reduction gained was 11.7 ±4. 6 mm(from 6 to 21 mm). Ten patients obtained an average follow-up of 16. 3 months (from 12 to 20 months). The X-ray films showed bony healing in all patients after an average of 3. 1 ± 0. 3 months(from 3 to 4 months). There was no postoperative loss of pelvic ring reduction or implant failure.By the Hannover scoring system, 7 patients were rated as excellent and 3 as good in clinic symptoms, and complete social reintegration was obtained in 8 cases and incomplete one in 2 cases.ConclusionOperation via posterior approach is a good choice for treatment of crescent pelvic fracture.
