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[1]石成弟,湯駿,胡煒,等.經(jīng)皮空心螺釘內(nèi)固定與前路鋼板內(nèi)固定治療不穩(wěn)定性骨盆骨折的對比研究[J].中醫(yī)正骨,2013,25(06):10-13.
　SHI Cheng-di*,TANG Jun,HU Wei,et al.Comparison of percutaneous hollow screw osteosynthesis and anterior plate osteosynthesis for treatment of unstable pelvic fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(06):10-13.
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經(jīng)皮空心螺釘內(nèi)固定與前路鋼板內(nèi)固定治療不穩(wěn)定性骨盆 骨折的對比研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年06期
頁碼:
10-13
欄目:
骨盆髖臼損傷
出版日期:
2013-06-30

文章信息/Info

Title:
Comparison of percutaneous hollow screw osteosynthesis and anterior plate osteosynthesis for treatment of unstable pelvic fractures
作者:
石成弟; 湯駿; 胡煒; 郭曉山
溫州醫(yī)科大學附屬第二醫(yī)院,浙江 溫州 325027
Author(s):
SHI Cheng-di*; TANG Jun; HU Wei; GUO Xiao-shan.*
The Second Affiliated Hospital of Wenzhou Medical College,Wenzhou 325027,Zhejiang,China
關(guān)鍵詞:
骨盆 骨折固定術(shù); 內(nèi) 骨螺絲 骨板 治療; 臨床研究性
Keywords:
Pelvis;  Fracture fixation; internal;  Bone screws;  Bone plates;  Therapies; investigational
摘要:
目的:比較閉合復位經(jīng)皮空心螺釘內(nèi)固定及前路切開復位重建鋼板內(nèi)固定治療不穩(wěn)定性骨盆骨折的臨床療效及安全性。方法:回顧性分析接受手術(shù)治療的59例不穩(wěn)定性骨盆骨折患者的病歷資料,采用閉合復位經(jīng)皮空心螺釘內(nèi)固定者31例(A組),采用前路切開復位重建鋼板內(nèi)固定者28例(B組)。記錄并比較2組患者手術(shù)時間、術(shù)中出血量及住院時間,采用Matta骨盆骨折復位評定標準評定患者的骨盆骨折復位情況,采用Majeed骨盆骨折評價標準評定2組患者的臨床綜合療效,同時記錄并比較患者術(shù)后及隨訪期間的并發(fā)癥發(fā)生情況。結(jié)果:①一般情況。A組患者手術(shù)時間[(45.60±12.50)min]、術(shù)中出血量[(25.80±5.60)mL]及住院時間[(8.60±3.40)d]均小于B組[(120.60±25.50)min,(580.50±210.20)mL,(19.30±5.20)d],差異均有統(tǒng)計學意義(t=14.582,P=0.000; t=14.701,P=0.000; t=9.422,P=0.000)。②骨折復位情況。A組優(yōu)21例,良8例,可2例; B組優(yōu)19例,良7例,可2例。2組患者骨折復位情況比較,差異無統(tǒng)計學意義(Z=-0.009,P=0.993)。③臨床綜合療效。A組優(yōu)24例,良5例,可2例; B組優(yōu)22例,良5例,可1例。2組患者的臨床綜合療效比較,差異無統(tǒng)計學意義(Z=-0.158,P=0.875)。④安全性。2組患者均未出現(xiàn)切口感染、醫(yī)源性血管神經(jīng)損傷及內(nèi)固定失敗等并發(fā)癥。結(jié)論:經(jīng)皮空心螺釘內(nèi)固定和前路鋼板內(nèi)固定治療不穩(wěn)定性骨盆骨折的療效及安全性相當,但前者具有手術(shù)時間短、術(shù)中出血少及術(shù)后恢復快的優(yōu)勢。
Abstract:
Objective:To compare the clinical curative effects and safety of closed reduction percutaneous hollow screw fixation and anterior open reduction reconstruction plate fixation in the treatment of unstable pelvic fractures.Methods:The medical records of 59 patients underwent operative treatment for their unstable pelvic fractures were analyzed retrospectively.Thirty-one patients(group A)were administrated with closed reduction and percutaneous hollow screw fixation,while 28 patients(group B)were administrated with anterior open reduction and reconstruction plate fixation.Such parameters as operation time,amounts of blood loss and hospitalization time were recorded and compared between the 2 groups; and pelvic fractures reductions of patients were evaluated according to Matta evaluation standards of pelvic fractures reductions; also the general clinical curative effects of the 2 groups were evaluated according to Majeed evaluation standards of pelvic fractures; meanwhile,the complications during postoperative and follow-up periods were recorded and compared between the 2 groups.Results:The operation time((45.60±12.50)min),amounts of blood loss((25.80±5.60)mL)and hospitalization time((8.60±3.40)d)of group A were all lower than those of group B((120.60±25.50)min,(580.50±210.20)mL,(19.30±5.20)d)respectively,and there were statistical differences between the two groups(t=14.582,P=0.000; t=14.701,P=0.000; t=9.422,P=0.000).Twenty-one patients obtained an excellent result of fracture reduction,8 good and 1 fair in group A; while 19 cases obtained an excellent result,7 good and 2 fair in group B.There was no statistical difference in fracture reduction between the 2 groups(Z=-0.009,P=0.993).Twenty-four patients obtained an excellent clinical curative effects,5 good and 2 fair in group A; while 22 cases obtained an excellent clinical curative effects,5 good and 1 fair in group B.There was no statistical difference in clinical curative effects between the 2 groups(Z=-0.158,P=0.875).No complications including incision infection,iatrogenic neurovascular injury and failed internal fixation were found in the 2 groups.Conclusion:The therapy of percutaneous hollow screw fixation is similar to the therapy of anterior plate osteosynthesis in curative effect and safety in the treatment of unstable pelvic fractures,while the former has the advantages of shorter operation time,less blood loss and quicker recovery after operation.

參考文獻/References:

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更新日期/Last Update: 1900-01-01