医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
9期
292-293
,共2页
髋臼骨折%骨折固定术%牵引术
髖臼骨摺%骨摺固定術%牽引術
관구골절%골절고정술%견인술
Acetabular fracture%Fracture fixation%Traction
目的提高髋臼骨折的治疗效果。方法对40例髋臼骨折的治疗进行回顾性分析。结果经1年5个月~10年随访，非手术治疗25例，满意9例，基本满意10例，不满意6例，满意率76％；手术治疗15例，满意3例，基本满意6例，不满意5例，满意率60％。结论髋臼骨折应力求解剖复位，非手术牵引治疗适合髋臼形态基本正常、未波及负重顶的低位骨折或严重粉碎性骨折估计术中难以复位固定者；凡骨折移位明显、骨折涉及负重区、关节内有碎骨块者宜手术治疗
目的提高髖臼骨摺的治療效果。方法對40例髖臼骨摺的治療進行迴顧性分析。結果經1年5箇月~10年隨訪，非手術治療25例，滿意9例，基本滿意10例，不滿意6例，滿意率76％；手術治療15例，滿意3例，基本滿意6例，不滿意5例，滿意率60％。結論髖臼骨摺應力求解剖複位，非手術牽引治療適閤髖臼形態基本正常、未波及負重頂的低位骨摺或嚴重粉碎性骨摺估計術中難以複位固定者；凡骨摺移位明顯、骨摺涉及負重區、關節內有碎骨塊者宜手術治療
목적제고관구골절적치료효과。방법대40례관구골절적치료진행회고성분석。결과경1년5개월~10년수방，비수술치료25례，만의9례，기본만의10례，불만의6례，만의솔76％；수술치료15례，만의3례，기본만의6례，불만의5례，만의솔60％。결론관구골절응력구해부복위，비수술견인치료괄합관구형태기본정상、미파급부중정적저위골절혹엄중분쇄성골절고계술중난이복위고정자；범골절이위명현、골절섭급부중구、관절내유쇄골괴자의수술치료
Objective Improve the ef ect of treatment of acetabular fractures.Methods On 40 cases of retrospective analysis of treatment of acetabular fracture.Results After 1 year and 5 months-10 years fol ow up, non-surgical treatment of 25 cases, satisfactory in 9 cases, general satisfaction with the 10 cases, not satisfied with 6 cases, satisfaction rate of 76% surgical treatment of 15 cases, 3 cases of satisfaction, general satisfaction with the 6 cases, not satisfied with 5 cases of satisfaction 60%. Conclusion Acetabular fractures should be aimed at anatomical reduction, non-normal operation traction treatment for acetabular morphology, unswept loaded top of severe comminuted fractures of low or dif iculties in the estimation of fracture fixation where the fracture shifted significantly, fractures involve weight-bearing area, block of intra-articular bone appropriate surgical treatment.
