| 不稳定性骨盆骨折的内固定治疗 |
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投稿时间：2006-09-19
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| 作者 | Author | 单位 | Address | E-Mail |
| 肖玉周 |
XIAO Yu-zhou |
蚌埠医学院附属医院骨科,安徽蚌埠233004 |
Department of Orthopaedics,the Affiliated Hospital of Bengbu Medical College,Bengbu 233004,Anhui,China |
XiaoYuzhoul@yahoo.com.cn |
| 周建生 |
ZHOU Jian-sheng |
蚌埠医学院附属医院骨科,安徽蚌埠233004 |
Department of Orthopaedics,the Affiliated Hospital of Bengbu Medical College,Bengbu 233004,Anhui,China |
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| 张长春 |
ZHANG Chang-chun |
蚌埠医学院附属医院骨科,安徽蚌埠233004 |
Department of Orthopaedics,the Affiliated Hospital of Bengbu Medical College,Bengbu 233004,Anhui,China |
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| 官建中 |
GUAN Jian-zhong |
蚌埠医学院附属医院骨科,安徽蚌埠233004 |
Department of Orthopaedics,the Affiliated Hospital of Bengbu Medical College,Bengbu 233004,Anhui,China |
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| 刘振华 |
LIU Zhen-hua |
蚌埠医学院附属医院骨科,安徽蚌埠233004 |
Department of Orthopaedics,the Affiliated Hospital of Bengbu Medical College,Bengbu 233004,Anhui,China |
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| 刘泉 |
LIU Quan |
蚌埠医学院附属医院骨科,安徽蚌埠233004 |
Department of Orthopaedics,the Affiliated Hospital of Bengbu Medical College,Bengbu 233004,Anhui,China |
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| 周新社 |
ZHOU Xin-she |
蚌埠医学院附属医院骨科,安徽蚌埠233004 |
Department of Orthopaedics,the Affiliated Hospital of Bengbu Medical College,Bengbu 233004,Anhui,China |
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| 期刊信息：《中国骨伤》2007年，第20卷，第9期，第616-618页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:探讨不稳定性骨盆骨折手术治疗的临床疗效。
方法:自2000年5月至2006年3月手术内固定治疗不稳定性骨盆骨折39例,男25例,女14例;年龄16～61岁,平均38.6岁。根据Tile分型,B1型8例,B2型16例,B3型5例,C1型7例,C2型3例。B型和部分C1型骨折,采用耻骨联合上方弧形切口或经髂腹股沟入路,应用钛合金重建钢板内固定。C1型骨折,主要采用闭合复位,经皮骶髂拉力螺钉内因定。C2型骨折,采用闭合复位,经皮骶髂拉力螺钉内固定,再前方入路内固定。
结果:术后随访时间2～68个月,平均18.6个月,骨折愈合时间平均2.4个月。术后并发症:切口感染1例,创伤性湿肺1例,神经牵拉伤1例,均治愈,无死亡病例。按Mears术后影像评定标准:解剖复位31例,复位满意7例,复位不满意1例。按照Majeed的疗效评定标准:优32例,良7例。
结论:不稳定性骨盆骨折采用手术内固定,可以有效恢复骨盆的稳定性,远期疗效好,极大地降低其致残率。 |
| 【关键词】骨折,骨盆 骨折固定术,内 骨折愈合 |
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| Surgical treatment of unstable pelvic fractures with internal fixation |
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ABSTRACT
Objective:To explore the therapeutic effects and surgical treatment for unstable pelvic fractures with internal fixation.
Methods:From May 2000 to March 2006,39 patients with unstable pelvic fractures were treated with open reduction and intermal fixation.There were 25 males and 14 females aging from 16 to 61 years (mean,38.6 years).According to Tile′s classification,Type B1 fracture was diagnosed in 8 patients,type B2 in 16 patients,type B3 in 5 patients,type C1 in 7 patients,type C2 in 3 patients.The fractures of type B and part of type C1 were internally fixed with pelvic-reconstruction plate made of titanium-alloy through pfannenstiel incision or ilioinguinal approach.Closed reduction and percutaneous iliosacral screws were used for type C1 fracture.Closed reduction and percutaneous iliosacral screws combimed with internal fixation through anterior approach were used for type C2 fracture.
Results:All the patients were followed up on an average of 18.6 months (range,2 to 68 months).The healing time of fractures were within an average of 2.4 months.The postoperative complications included:wound infection in 1,traumatic wet lung in 1,traction injury of the nerve in 1.All the complications were cured,and no case of death.According to Mears′s radiography evaluation,the anatomic reduction was found in 31 and satisfactory in 7 and unsatisfactory in 1.According to Majeed′s criteria for the evaluation of therapeutic effect,32 patients obtained an excellent result,and 7 good.
Conclusion:Surgical treatment for unstable pelvic fractures with internal fixation is good for restoring pelvic stability,it can obtain good results of long-term follow-up,and also can decrease the rate of disability. |
| KEY WORDS Fracture,pelvis Fracture fixation, internal Fracture healing |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 肖玉周,周建生,张长春,官建中,刘振华,刘泉,周新社.不稳定性骨盆骨折的内固定治疗[J].中国骨伤,2007,20(9):616~618 |
| 英文格式: | XIAO Yu-zhou,ZHOU Jian-sheng,ZHANG Chang-chun,GUAN Jian-zhong,LIU Zhen-hua,LIU Quan,ZHOU Xin-she.Surgical treatment of unstable pelvic fractures with internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(9):616~618 |
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