临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
10期
1329-1330
,共2页
不稳定性骨盆骨折%内固定方法%临床效果
不穩定性骨盆骨摺%內固定方法%臨床效果
불은정성골분골절%내고정방법%림상효과
Unstable pelvic fracture%Internal fixation%Clinical effect
目的：探讨不稳定性骨盆骨折分别采用骶髂关节前方钢板固定与经皮骶髂螺钉固定治疗的临床效果。方法选取2011年3月至2014年3月我院收治的不稳定性骨盆骨折患者82例，随机分为两组各41例。对照组采用骶髂关节前方钢板固定治疗，观察组采用经皮骶髂螺钉固定治疗。比较两组的手术时间、切口长度、术中出血量、住院时间、治疗效果及并发症发生情况。结果观察组切口长度、手术时间及住院时间均明显短于对照组，术中出血量明显少于对照组；观察组骨折复位优良率95.12%显著高于对照组的75.61%；观察组并发症发生率4.88%显著低于对照组的19.51%；差异均具有统计学意义(P＜0.05)。结论在不稳定性骨盆骨折内固定治疗中，采用经皮骶髂螺钉术，创伤小，恢复快，临床效果更好，安全性更高，值得推广。
目的：探討不穩定性骨盆骨摺分彆採用骶髂關節前方鋼闆固定與經皮骶髂螺釘固定治療的臨床效果。方法選取2011年3月至2014年3月我院收治的不穩定性骨盆骨摺患者82例，隨機分為兩組各41例。對照組採用骶髂關節前方鋼闆固定治療，觀察組採用經皮骶髂螺釘固定治療。比較兩組的手術時間、切口長度、術中齣血量、住院時間、治療效果及併髮癥髮生情況。結果觀察組切口長度、手術時間及住院時間均明顯短于對照組，術中齣血量明顯少于對照組；觀察組骨摺複位優良率95.12%顯著高于對照組的75.61%；觀察組併髮癥髮生率4.88%顯著低于對照組的19.51%；差異均具有統計學意義(P＜0.05)。結論在不穩定性骨盆骨摺內固定治療中，採用經皮骶髂螺釘術，創傷小，恢複快，臨床效果更好，安全性更高，值得推廣。
목적：탐토불은정성골분골절분별채용저가관절전방강판고정여경피저가라정고정치료적림상효과。방법선취2011년3월지2014년3월아원수치적불은정성골분골절환자82례，수궤분위량조각41례。대조조채용저가관절전방강판고정치료，관찰조채용경피저가라정고정치료。비교량조적수술시간、절구장도、술중출혈량、주원시간、치료효과급병발증발생정황。결과관찰조절구장도、수술시간급주원시간균명현단우대조조，술중출혈량명현소우대조조；관찰조골절복위우량솔95.12%현저고우대조조적75.61%；관찰조병발증발생솔4.88%현저저우대조조적19.51%；차이균구유통계학의의(P＜0.05)。결론재불은정성골분골절내고정치료중，채용경피저가라정술，창상소，회복쾌，림상효과경호，안전성경고，치득추엄。
Objective To investigate the clinical effect of plate fixation in front of sacroiliac joints and percutaneous sacroiliac screws fixation in treating unstable pelvic fractures. Methods 82 patients with unstable pelvic fractures treated in our hospital from March 2011 to March 2014 were selected and randomly divided into two groups. The control group (41 cases) was treated with plate fixation in front of sacroiliac joints, the observation group (41 cases) was treated with percutaneous sacroiliac screws fixation. The operation time, length of incision, bleeding volume during operation, hospitalization time, the treatment effects and complications were compared between two groups. Results The length of incision, operation time and hospitalization time of observation group were significantly shorter than those of control group, the bleeding volume during operation was significantly less than that of control group;the excellent and good rate of fracture reduction in observation group was 95.12%, significantly higher than 75.61%of control group;the incidence of complications of observation group was 4.88%, significantly lower than 19.51%of control group;all the difference was statistical (P<0.05). Conclusions In the treatment of unstable pelvic fractures, percutaneous sacroiliac screws fixation has the advantages of small trauma, quick recovery, better clinical effect and higher safety, which is worthy of promotion.
