| 点状切口插入钢板复位固定耻骨支骨折 |
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投稿时间：2007-08-28
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| 作者 | Author | 单位 | Address | E-Mail |
| 朱求亮 |
ZHU Qiu-liang |
安吉县人民医院骨科，浙江 安吉 313300 |
Department of Orthopaedics,the Peoples Hospital of Anji,Anji 313300,Zhejiang,China |
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| 娄云龙 |
LOU Yun-long |
安吉县人民医院骨科，浙江 安吉 313300 |
Department of Orthopaedics,the Peoples Hospital of Anji,Anji 313300,Zhejiang,China |
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| 徐国荣 |
XU Guo-rong |
安吉县人民医院骨科，浙江 安吉 313300 |
Department of Orthopaedics,the Peoples Hospital of Anji,Anji 313300,Zhejiang,China |
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| 戎露江 |
RONG Lu-jiang |
安吉县人民医院骨科，浙江 安吉 313300 |
Department of Orthopaedics,the Peoples Hospital of Anji,Anji 313300,Zhejiang,China |
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| 颜冒华 |
YAN Mao-hua |
安吉县人民医院骨科，浙江 安吉 313300 |
Department of Orthopaedics,the Peoples Hospital of Anji,Anji 313300,Zhejiang,China |
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| 杨国忠 |
YANG Guo-zhong |
德清县人民医院骨科 |
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| 期刊信息：《中国骨伤》2008年，第21卷，第5期，第337-339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：设计点状切口插入钢板固定耻骨支骨折，探讨其治疗效果。
方法：选择2002年至2005年不稳定性骨盆损伤患者10例18个耻骨支，男8例15个耻骨支，女2例3个耻骨支；年龄24～56岁，平均37.2岁。按Tile分型：B1型1例，B2型6例，C1型3例。受伤距手术治疗时间4～14 d,平均8.7 d.将常规腹股沟切口分解为2～3个点状切口，经点状切口行耻骨支内固定，观察治疗效果。
结果：经28个点状切口顺利完成18个耻骨支骨折内固定，平均每点状切口失血30 ml,完成一个耻骨支固定时间45 min,术后功能经Majeed骨盆骨折评价标准评分属优。
结论：经点状切口可以完成耻骨支内固定，手术创伤相对常规腹股沟开放切口小，术后并发症少，功能恢复好。 |
| 【关键词】耻骨支骨折 点状切口 骨折固定术，内 |
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| Reduction and fixation of fracture of pubic rami by inserting construction plate through the punctiform-incision approach |
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ABSTRACT
Objective: To observe the effect of pubic fractures reducted and fixed thorough the punctiform incision approach.
Methods: From 2002 to 2005,10 cases with 18 fractures of pubis rami(8 male and 2 femal)were treated with inserting construction plate by the punctiform incision approach. The average age of these patients was 37.2 years (range,24 to 56 years). The mean duration between injury and operation was 8.7 days(range,4 to 14 days).
Results: Internal fixation for eighteen pubis fractures were accomplished by 28 punctiform incisions. The blood loss for each incision was averagely 30 ml,operation time of each pubic was about 45 minutes. Function restoration was evaluated by Majeed' score and all patients gained excellent result.
Conclusion: The fracture of pubic rami can be fixed sucessfully by punctiform incision approach. It provides smaller incision,less postoperative complications and excellent function rehabilitation. |
| KEY WORDS Fracture of pubic rami Punctiform-incision approach Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 朱求亮,娄云龙,徐国荣,戎露江,颜冒华,杨国忠.点状切口插入钢板复位固定耻骨支骨折[J].中国骨伤,2008,21(5):337~339 |
| 英文格式: | ZHU Qiu-liang,LOU Yun-long,XU Guo-rong,RONG Lu-jiang,YAN Mao-hua,YANG Guo-zhong.Reduction and fixation of fracture of pubic rami by inserting construction plate through the punctiform-incision approach[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(5):337~339 |
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