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[1]牟遐平,楚宇鵬,王金華,等.經(jīng)皮空心螺釘固定與重建鋼板固定治療恥骨聯(lián)合分離的比較研究[J].中醫(yī)正骨,2011,23(10):21-23.
　MU Xia-ping*,CHU Yu-peng,WANG Jin-hua,et al.Comparative study on the percutaneous hollow screws fixation and reconstruction plate fixation in the treatment of pubic symphysis diastasis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(10):21-23.
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經(jīng)皮空心螺釘固定與重建鋼板固定治療恥骨聯(lián)合分離的 比較研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第23卷
期數(shù):
2011年10期
頁(yè)碼:
21-23
欄目:
臨床研究
出版日期:
2011-10-31

文章信息/Info

Title:
Comparative study on the percutaneous hollow screws fixation and reconstruction plate fixation in the treatment of pubic symphysis diastasis
作者:
牟遐平1; 楚宇鵬2; 王金華3; 廖維3; 郭曉山3; 孔建中3
1.四川省簡(jiǎn)陽(yáng)市人民醫(yī)院,四川 簡(jiǎn)陽(yáng) 641400; 2.浙江省溫州市第二人民醫(yī)院, 浙江 溫州 325000; 3.溫州醫(yī)學(xué)院附屬第二醫(yī)院,浙江 溫州 325027
Author(s):
MU Xia-ping*; CHU Yu-peng; WANG Jin-hua; et al.*
The People's Hospital of Jianyang City,Jianyang 641400,Sichuan,China
關(guān)鍵詞:
恥骨聯(lián)合分離 內(nèi)固定器 治療; 臨床研究性
Keywords:
Pubic symphysis diastasis;  Internal fixators;  Therapies; Investigational
摘要:
目的:比較分析經(jīng)皮空心螺釘固定與重建鋼板固定治療恥骨聯(lián)合分離的臨床療效。方法:回顧性分析2002年1月至2008年6月,簡(jiǎn)陽(yáng)市人民醫(yī)院收治的44例恥骨聯(lián)合分離患者的病歷資料,其中24例采用經(jīng)皮空心螺釘固定(A組),20例采用重建鋼板固定(B組)。記錄并比較2組患者的手術(shù)時(shí)間、術(shù)中出血量、切口長(zhǎng)度、X線暴露次數(shù)及并發(fā)癥發(fā)生情況,并根據(jù)Majeed功能評(píng)定標(biāo)準(zhǔn)評(píng)定2組患者的療效。結(jié)果:①A組患者的術(shù)中出血量和切口長(zhǎng)度小于B組(t=22.213,P=0.000; t=16.201,P=0.000),手術(shù)時(shí)間和X線暴露次數(shù)多于B組(t=5.427,P=0.000; t=9.155,P=0.000)。②2組患者療效比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(Z=0.317,P=0.751)。③A組有1例發(fā)生恥骨聯(lián)合再分離,3例出現(xiàn)恥骨聯(lián)合處疼痛; B組2例恥骨聯(lián)合后區(qū)有輕微疼痛,2例出現(xiàn)螺釘松動(dòng)。2組患者并發(fā)癥發(fā)生情況比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P=1.000)。結(jié)論:經(jīng)皮空心螺釘與重建鋼板固定治療恥骨聯(lián)合分離療效相當(dāng),安全性方面也無(wú)差異; 前者手術(shù)耗時(shí)長(zhǎng)、X線暴露次數(shù)多,但手術(shù)切口小、術(shù)中出血量少。術(shù)者應(yīng)根據(jù)自身操作技能水平、熟練程度和醫(yī)院條件等綜合考慮,選擇適宜的內(nèi)固定方式。
Abstract:
Objective:To make a comparative analysis on the clinical curative effects of percutaneous hollow screws fixation and reconstruction plate fixation in the treatment of pubic symphysis diastasis.Methods:The medical records of 44 patients with pubic symphysis diastasis treated in People's Hospital of Jianyang City from January 2002 to June 2008 were analyzed retrospectively.Twenty-four cases in group A were administrated with percutaneous hollow screws fixation,while the others in group B were administrated with reconstruction plate fixation.The operation time,amount of blood loss,incision length,X-ray exposure times and complications of patients were recorded and compared between the 2 groups,and the curative effects were evaluated according to Majeed functional evaluation standards.Results:①Amount of blood loss and incision length of patients in group A were all less than those of patients in group B(t=22.213,P=0.000; t=16.201,P=0.000),while the operation time and X-ray exposure times of group A were all more than those of group B(t=5.427,P=0.000; t=9.155,P=0.000).②There was no statistical difference in the curative effects between the 2 groups(Z=0.317,P=0.751).③One case with pubic symphysis rediastasis and 3 cases with pain in the place of pubic symphysis were found in group A; while 2 cases with mild pain in the back zone of pubic symphysis and 2 cases with loose screws were found in group B.There was no statistical difference in the complications between the 2 groups(P=1.000).Conclusion:Although the fixation with percutaneous hollow screws has the similar curative effects and safety to the fixation with reconstruction plate in the treatment of pubic symphysis diastasis,it has smaller incision and less amount of blood loss while needing longer time for the operation and more exposure times of X-ray,therefore,the operators should choose the appropriate internal fixation according to their own operation skills,proficiency levels and the hospital conditions.

參考文獻(xiàn)/References:

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