CAJ | 학술논문

　　目的分析应用髂骨钉与椎弓根钉棒内固定治疗骶髂关节骨折、脱位的治疗效果，探讨椎弓根钉棒系统固定骶髂关节的临床应用价值。方法对照组（n=24）骶髂关节骨折、脱位采用后路双钢板固定治疗，治疗组（n=24）为骶髂关节骨折、脱位患者采用髂骨钉与椎弓根钉棒系统固定术治疗，对比两组的手术临床效果及术后随访情况。结果两组的手术时间、术中出血量、骨折愈合时间均无显著性差异（P＜0.05）；所有患者均随访12~18个月， Majeed评分治疗组优良率为95.8%（23/24），明显优于对照组的70.8%（17/24），两组的差异有显著性（P＜0.05）。结论髂骨钉与椎弓根钉棒内固定治疗骶髂关节的临床治疗效果佳，能够最大程度恢复关节的正常功能，有助于提高患者的生活质量。
　　목적분석응용가골정여추궁근정봉내고정치료저가관절골절、탈위적치료효과，탐토추궁근정봉계통고정저가관절적림상응용개치。방법대조조（n=24）저가관절골절、탈위채용후로쌍강판고정치료，치료조（n=24）위저가관절골절、탈위환자채용가골정여추궁근정봉계통고정술치료，대비량조적수술림상효과급술후수방정황。결과량조적수술시간、술중출혈량、골절유합시간균무현저성차이（P＜0.05）；소유환자균수방12~18개월， Majeed평분치료조우량솔위95.8%（23/24），명현우우대조조적70.8%（17/24），량조적차이유현저성（P＜0.05）。결론가골정여추궁근정봉내고정치료저가관절적림상치료효과가，능구최대정도회복관절적정상공능，유조우제고환자적생활질량。
Objective To analyze the treatment effects of the iliac screw and pedicle screw rod internal fixation on sacroiliac joint fracture and dislocation and discuss the clinical application value of the pedicle screw rod system in fixation of sacroiliac joint. Methods The double plates fixation via posterior approach was adopted for the patients with sacroiliac joint fracture and dislocation in the control group (n=24),while the iliac screw and pedicle screw rod system internal fixation was adopted for the patients with sacroiliac joint fracture and dislocation in the treatment group (n=24).The clinical effects of the surgeries and the postoperative follow-up of the two groups were compared. Results There were no significant differences (P < 0.05) of the operation time,intraoperative blood loss and fracture healing time between the two groups; All the patients were followed up for 12-18 months. The Majeed score of the treatment group was 95.8%(23/24), which was better than the control group (70.8%(17/24))with significant difference (P<0.05). Conclusion The treatment effect of the iliac screw and pedicle screw rod internal fixation on sacroiliac joint fracture and dislocation is good,which can recover the normal function of joint to the greatest degree and improve the patient’s quality of life.