CAJ | 학술논문

目的：探讨耻骨联合分离为主要损伤表现的 Tile B 型骨盆骨折的微创治疗方法及疗效。方法2013年2月至2014年3月，对9例以耻骨联合分离为主要损伤表现的 Tile B 型骨盆骨折，通过合理的体位安置，体外无损伤闭合复位，经皮空心螺钉内固定治疗。结果手术时间30～70 min，平均45 min，单枚螺钉置钉失血量1～6 ml，平均3 ml，无钉道感染及穿刺并发症发生。复位情况根据 Matta 标准评价：9例均优。术后6周、3个月复查 X 线片，未出现螺钉松动、断裂。随访5～10(平均8.3)个月，临床功能恢复情况根据 Majeed 标准评价：9例均优。结论利用体外闭合复位技术，经皮空心螺钉内固定治疗以耻骨联合分离为主要损伤表现的 Tile B 型骨盆骨折，可简化操作，缩小手术创伤，效果肯定。
목적：탐토치골연합분리위주요손상표현적 Tile B 형골분골절적미창치료방법급료효。방법2013년2월지2014년3월，대9례이치골연합분리위주요손상표현적 Tile B 형골분골절，통과합리적체위안치，체외무손상폐합복위，경피공심라정내고정치료。결과수술시간30～70 min，평균45 min，단매라정치정실혈량1～6 ml，평균3 ml，무정도감염급천자병발증발생。복위정황근거 Matta 표준평개：9례균우。술후6주、3개월복사 X 선편，미출현라정송동、단렬。수방5～10(평균8.3)개월，림상공능회복정황근거 Majeed 표준평개：9례균우。결론이용체외폐합복위기술，경피공심라정내고정치료이치골연합분리위주요손상표현적 Tile B 형골분골절，가간화조작，축소수술창상，효과긍정。
Objective To explore the minimally invasive treatment methods and corresponding curative results of Tile B pelvic fractures with pubic symphysis separation as the main damage performance.Methods From February 2013 to March 2014, 9 patients with Tile B pelvic fractures with pubic symphysis separation as the main damage performance were admitted. All the patients were treated by noninvasive closed reduction in vitro and percutaneous cannulate screw ifxation. Fracture closure was achieved by reasonable positioning.Results The average operative time was 45 min ( range: 30-70 min ), and the average intraoperative blood loss was 3 ml ( range: 1-6 ml ). No incision infections or puncture-related complications occurred. Reduction of fractures was assessed by Matta’s criteria, and there were 9 excellent cases. The pelvic X-ray films at 6 weeks and 3 months after the surgery were reviewed in all the patients, and no screw loosening or breakage was found. The average follow-up period was 8.3 months ( range: 5-10 months ). According to Majeed functional scoring, all the patients were excellent. Conclusions Invitro closed reduction techniques are used and percutaneous cannulate screw ifxation is carried out in the treatment of Tile B pelvic fractures with pubic symphysis separation as the main damage performance, with the advantages of simple operation, less trauma and satisfactory results.