CAJ | 학술논문

目的应用传统影像学监测技术结合骶骨斜坡位影像学监测进行经皮骶髂关节螺钉固定的临床研究、手术方法及疗效评价. 方法经术前牵引复位及肠道准备后,以C形臂X线机在骨盆入口位、出口位及骶骨斜坡位影像学监测下对37例骨盆后环损伤患者行经皮骶髂关节螺钉固定.其中男23例,女14例;年龄18～63岁,平均30.8岁. 结果 37例均获随访,时间4～23个月,平均9.8个月.其中基本解剖复位28例,7例遗留2 mm冠状面移位,2例残余移位5 mm.无医源性神经血管并发症,骨折全部愈合.根据Majeed疗效评估标准,优良率95%.结论结合骶骨斜坡位的影像学监测技术,可提高经皮骶髂关节螺钉固定术的安全性,简化操作程序,缩短操作时间.
목적 응용전통영상학감측기술결합저골사파위영상학감측진행경피저가관절라정고정적림상연구、수술방법급료효평개. 방법경술전견인복위급장도준비후,이C형비X선궤재골분입구위、출구위급저골사파위영상학감측하대37례골분후배손상환자행경피저가관절라정고정.기중남23례,녀14례;년령18～63세,평균30.8세. 결과 37례균획수방,시간4～23개월,평균9.8개월.기중기본해부복위28례,7례유류2 mm관상면이위,2례잔여이위5 mm.무의원성신경혈관병발증,골절전부유합.근거Majeed료효평고표준,우량솔95%.결론 결합저골사파위적영상학감측기술,가제고경피저가관절라정고정술적안전성,간화조작정서,축단조작시간.
Objective To observe the operation methods and curative effect of sacroiliac joint screw fixation by using traditional imaging monitoring technique in combination with sacral slope position imaging monitoring technique. Methods After bone traction and enema cleansing, 37 patients with pelvic fractures were fixed with sacroiliac joint screws, which was monitored under C-armed X ray machine at slope position, inlet and outlet views. There were 23 males and 14 females, at average age of 30. 8 years (18-63 years). Results All the patients were followed up for 4-23 months (average 9. 8 months) , which showed basic anatomical restoration in 28 patients, coronal section dislocation for 2 mm in seven and dislocation for 5 mm in two. All fractures were healed, with no nerve or blood vessel complications found. According to Majeed scoring, the excellence rate was up to 94. 5%. Conclusions Combined use of traditional imaging monitoring and sacral slope position imaging monitoring can help improve the safety of percutaneous iliosacral screw fixation, simplify operation process and shorten operation time.