医学临床研究
醫學臨床研究
의학림상연구
Journal of Clinical Research
2015年
8期
1565-1567
,共3页
骨板%骨钉%骨折固定术,内/方法%骶髂关节%骨盆骨/损伤
骨闆%骨釘%骨摺固定術,內/方法%骶髂關節%骨盆骨/損傷
골판%골정%골절고정술,내/방법%저가관절%골분골/손상
Bone Plates%Bone Nails%Fracture Fixation,Internal/MT%Sacroiliac Joint%Pelvic Bones/IN
【目的】比较不同内固定方式治疗不稳定性骨盆骨折患者的临床效果。【方法】将本院2012年8月至2014年8月收治的90例不稳定性骨盆骨折患者按照随机数字表法分为对照组(骶髂关节前方钢板固定)与观察组(经皮骶髂螺钉内固定),每组各45例。比较两组患者平均术中出血量、伤口长度、手术时间、术后发热时间及住院时间；统计两组患者术后骨折复位情况,并应用 Majeed 功能评分评价患者术后疼痛和骨折愈合及功能性恢复及并发症发生情况。【结果】观察组平均术中出血量、伤口长度、手术时间、术后发热时间及住院时间分别为(13.4±4.1) mL、(18.7±4.1)mm、(85.2±12.9)min、(2.5±1.0)d、(9.5±2.1)d 明显少(短)于对照组(429.7±115.3)mL、(146.7±12.7)mm、(115.9±17.3)min、(3.9±1.4)d、(16.9±4.2)d,且两组相比较差异均有显著性(P <0.05)；观察组术后骨折复位优良率为95.6%(43/45),明显高于对照组77.8%(35/45),且两组相比较差异均有显著性(P <0.05)。观察组术后 Majeed 功能评分平均为(92.5±4.6)分明显高于对照组(76.9±5.8)分(P <0.05)。观察组术后并发症率为2.2%(1/45)明显低于对照组20.0%(9/45),且两组相比较差异均有显著性(P <0.05)。【结论】应用经皮骶髂螺钉内固定治疗不稳定性骨盆骨折患者较骶髂关节前方钢板固定疗效显著且安全。
【目的】比較不同內固定方式治療不穩定性骨盆骨摺患者的臨床效果。【方法】將本院2012年8月至2014年8月收治的90例不穩定性骨盆骨摺患者按照隨機數字錶法分為對照組(骶髂關節前方鋼闆固定)與觀察組(經皮骶髂螺釘內固定),每組各45例。比較兩組患者平均術中齣血量、傷口長度、手術時間、術後髮熱時間及住院時間；統計兩組患者術後骨摺複位情況,併應用 Majeed 功能評分評價患者術後疼痛和骨摺愈閤及功能性恢複及併髮癥髮生情況。【結果】觀察組平均術中齣血量、傷口長度、手術時間、術後髮熱時間及住院時間分彆為(13.4±4.1) mL、(18.7±4.1)mm、(85.2±12.9)min、(2.5±1.0)d、(9.5±2.1)d 明顯少(短)于對照組(429.7±115.3)mL、(146.7±12.7)mm、(115.9±17.3)min、(3.9±1.4)d、(16.9±4.2)d,且兩組相比較差異均有顯著性(P <0.05)；觀察組術後骨摺複位優良率為95.6%(43/45),明顯高于對照組77.8%(35/45),且兩組相比較差異均有顯著性(P <0.05)。觀察組術後 Majeed 功能評分平均為(92.5±4.6)分明顯高于對照組(76.9±5.8)分(P <0.05)。觀察組術後併髮癥率為2.2%(1/45)明顯低于對照組20.0%(9/45),且兩組相比較差異均有顯著性(P <0.05)。【結論】應用經皮骶髂螺釘內固定治療不穩定性骨盆骨摺患者較骶髂關節前方鋼闆固定療效顯著且安全。
【목적】비교불동내고정방식치료불은정성골분골절환자적림상효과。【방법】장본원2012년8월지2014년8월수치적90례불은정성골분골절환자안조수궤수자표법분위대조조(저가관절전방강판고정)여관찰조(경피저가라정내고정),매조각45례。비교량조환자평균술중출혈량、상구장도、수술시간、술후발열시간급주원시간；통계량조환자술후골절복위정황,병응용 Majeed 공능평분평개환자술후동통화골절유합급공능성회복급병발증발생정황。【결과】관찰조평균술중출혈량、상구장도、수술시간、술후발열시간급주원시간분별위(13.4±4.1) mL、(18.7±4.1)mm、(85.2±12.9)min、(2.5±1.0)d、(9.5±2.1)d 명현소(단)우대조조(429.7±115.3)mL、(146.7±12.7)mm、(115.9±17.3)min、(3.9±1.4)d、(16.9±4.2)d,차량조상비교차이균유현저성(P <0.05)；관찰조술후골절복위우량솔위95.6%(43/45),명현고우대조조77.8%(35/45),차량조상비교차이균유현저성(P <0.05)。관찰조술후 Majeed 공능평분평균위(92.5±4.6)분명현고우대조조(76.9±5.8)분(P <0.05)。관찰조술후병발증솔위2.2%(1/45)명현저우대조조20.0%(9/45),차량조상비교차이균유현저성(P <0.05)。【결론】응용경피저가라정내고정치료불은정성골분골절환자교저가관절전방강판고정료효현저차안전。
[Objective]To compare the clinical results of different methods of internal fixation treatment of unstable pelvic fracture ,this study shall provide reference for clinical internal fixation treatment.[Methods]90 cases of unstable pelvic fracture in our hospital from August 2012 to August 2014 were grouped according to random number table method as to the control group (sacroiliac joint in front of the plate fixation)and the observation group (percutaneous sacroiliac screw fixation),45 cases for each of them.The two groups were compared each otehr in the fields of average intraopera-tive blood loss,wound length,operative time,postoperative fever time and hospitalization time;Postoperative fracture situation of patients of the two groups was counted statistically .The Majeed function score was used to evaluate the post-operative pain and fracture healing,functional recovery and complication.[Results]The average intraoperative blood loss, wound length,operative time,postoperative fever time and hospital stay of the observation group were respectively (13.4 ±4.1)mL、(18.7±4.1)mm、(85.2±12.9)min、(2.5±1.0)d、(9.5±2.1)d ,significantly less (shorter)than those of the control group:(429.7±115.3)mL、(146.7±12.7)mm、(115.9±17.3)min、(3.9±1.4)d、(16.9±4.2)d,and the difference between the two groups were significant (P <0.05);The excellent rate of postoperative fracture reduction of the observation group was 95.6% (43/45),which was significantly higher than that of the control group 77.8% (35/45),and the difference between the two groups was significant (P <0.05).The Majeed postoperative function score (average)of the observation group was (92.5±4.6)significantly higher than that of the control group 76.9±5.8 (P <0.05).The postoperative complication rate of the observation group was 2.2% (1/45),significantly lower than that of the control group 20% (9/45),and the difference between the two groups was significant (P <0.05).[Conclu-sion]The application of percutaneous sacroiliac screw fixation for unstable pelvic fractures is effective and safe.
