中华骨科杂志
中華骨科雜誌
중화골과잡지
CHINESE JOURNAL OF ORTHOPAEDICS
2009年
11期
1019-1022
,共4页
陈红卫%王子阳%黄洪斌%赵品益%赵胜春%陈洵其%叶键%叶招明%潘骏%赵钢生
陳紅衛%王子暘%黃洪斌%趙品益%趙勝春%陳洵其%葉鍵%葉招明%潘駿%趙鋼生
진홍위%왕자양%황홍빈%조품익%조성춘%진순기%협건%협초명%반준%조강생
骨盆%骨折%骨螺丝%骨板
骨盆%骨摺%骨螺絲%骨闆
골분%골절%골라사%골판
Pelvis%Fractures%Bone screws%Bone plates
目的 对比经皮重建钢板和经皮骶髂螺钉两种内固定方法 治疗Tile C型骨盆后环骨折的临床疗效.方法 2002年3月至2007年10月,治疗Tile C型骨盆后环骨折患者58例.采用经皮重建钢板内固定治疗29例,男20例,女9例;年龄(37.3±11.3)岁.采用经皮骶髂螺钉固定29例,男21例,女8例;年龄(39.3±10.4)岁.致伤原因:车祸伤38例,高处坠落伤17例,挤压伤3例.记录患者的手术时间、X线暴露次数、术中出血量、切口长度、术后Majeed功能评价、术后并发症等相关数据,进行统计学分析.结果 58例均获得随访,随访时间12～36个月,平均21.3个月.两组患者在手术时间、X线暴露次数、切口长度、术中出血量等方面差异有统计学意义.术后Majeed功能评价:经皮重建钢板组优9例,良16例,可4例,优良率为86.1%;经皮骶髂螺钉组优10例,良16例,可3例,优良率为88.2%.结论 经皮重建钢板和经皮骶髂螺钉两种内固定方法 治疗Tile C型骨盆后环骨折疗效相当,但经皮重建钢板较经皮骶髂螺钉固定无神经及血管损伤风险,且术中透视少.
目的 對比經皮重建鋼闆和經皮骶髂螺釘兩種內固定方法 治療Tile C型骨盆後環骨摺的臨床療效.方法 2002年3月至2007年10月,治療Tile C型骨盆後環骨摺患者58例.採用經皮重建鋼闆內固定治療29例,男20例,女9例;年齡(37.3±11.3)歲.採用經皮骶髂螺釘固定29例,男21例,女8例;年齡(39.3±10.4)歲.緻傷原因:車禍傷38例,高處墜落傷17例,擠壓傷3例.記錄患者的手術時間、X線暴露次數、術中齣血量、切口長度、術後Majeed功能評價、術後併髮癥等相關數據,進行統計學分析.結果 58例均穫得隨訪,隨訪時間12～36箇月,平均21.3箇月.兩組患者在手術時間、X線暴露次數、切口長度、術中齣血量等方麵差異有統計學意義.術後Majeed功能評價:經皮重建鋼闆組優9例,良16例,可4例,優良率為86.1%;經皮骶髂螺釘組優10例,良16例,可3例,優良率為88.2%.結論 經皮重建鋼闆和經皮骶髂螺釘兩種內固定方法 治療Tile C型骨盆後環骨摺療效相噹,但經皮重建鋼闆較經皮骶髂螺釘固定無神經及血管損傷風險,且術中透視少.
목적 대비경피중건강판화경피저가라정량충내고정방법 치료Tile C형골분후배골절적림상료효.방법 2002년3월지2007년10월,치료Tile C형골분후배골절환자58례.채용경피중건강판내고정치료29례,남20례,녀9례;년령(37.3±11.3)세.채용경피저가라정고정29례,남21례,녀8례;년령(39.3±10.4)세.치상원인:차화상38례,고처추락상17례,제압상3례.기록환자적수술시간、X선폭로차수、술중출혈량、절구장도、술후Majeed공능평개、술후병발증등상관수거,진행통계학분석.결과 58례균획득수방,수방시간12～36개월,평균21.3개월.량조환자재수술시간、X선폭로차수、절구장도、술중출혈량등방면차이유통계학의의.술후Majeed공능평개:경피중건강판조우9례,량16례,가4례,우량솔위86.1%;경피저가라정조우10례,량16례,가3례,우량솔위88.2%.결론 경피중건강판화경피저가라정량충내고정방법 치료Tile C형골분후배골절료효상당,단경피중건강판교경피저가라정고정무신경급혈관손상풍험,차술중투시소.
Objective To explore the clinical effects of percutaneous reconstruction plate and percutaneous sacroiliac screws in the treatment of unstable pelvic posterior ring fractures.Methods Fifty-eight patients with unstable pelvic posterior ring fractures underwent percutaneous reconstruction plate and percutaneous sacroiliac screws from March 2002 to October 2007.They were divided into 2 groups according to 2 kinds of internal fixations:percutaneous reconstruction plate(20 males and 9 females,with the mean age of 37.3±11.3 years)and percutaneous sacroiliac screws (21 males and 8 females,with the mean age of 39.3±10.4 years).Thirty-eight cases were caused by motor vehicle aecident,17 by fall from height and 3 by crush.The data of operative time,X-ray exposure frequency,intro-operative blood loss,length of incision,post-operative Majeed smndards and post-operative complication were recorded and analyzed statisticaIly using the SPSS 15.0 software package.Results All patients were follow up 12-36 months(mean 21.3 months)in 58 patients.There were significant differences in operative time,X-ray exposure frequency,intro-operative blood loss and length of incisiou between the two groups.According Maieed standards,the excellent and good rate was 86.1%in reconstruction plate,and 88.2%in sacroiliac screws.Conclusion Unstable pelvic posterior ring fractures could be treated successfully with percutaneous sacroiliac screws and percutaneous reconstruction plate.There were no significant differences in clinical outcomes between the two groups.However,percutaneous reconstruction plate shows some advantages,such as less operative time,less fluoroscopy time and less complication.
