| CT引导下置入螺钉治疗骶髂关节脱位 |
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Received:August 20, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 尹飚 |
YIN Biao |
广州军区广州总医院骨科,广东广州510010 |
Department of Orthopaedics,the General Hospital of Guangzhou Command of PLA,Guangzhou 510010,Guangdong,China |
ybdoctor135@sina.com |
| 丁焕文 |
DING Huan-wen |
广州军区广州总医院骨科,广东广州510010 |
Department of Orthopaedics,the General Hospital of Guangzhou Command of PLA,Guangzhou 510010,Guangdong,China |
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| 尹庆水 |
YIN Qing-shui |
广州军区广州总医院骨科,广东广州510010 |
Department of Orthopaedics,the General Hospital of Guangzhou Command of PLA,Guangzhou 510010,Guangdong,China |
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| 期刊信息：《中国骨伤》2006年19卷，第3期，第142-143页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨CT引导下置入螺钉治疗骶髂关节脱位的方法。
方法:选择旋转垂直不稳定的典型C型(Tile分型)骨盆骨折12例,行CT扫描定位第一骶椎,后在CT引导下置入导针,根据CT测量和导针置入长度选择适合长度的半螺纹松质骨螺钉拧入,在CT扫描下可见患侧骶髂关节逐步合拢,最后复位。
结果:12例骶髂关节均复位,10例获得随访,时间8~15个月,按疗效评定标准,优7例,良2例,可1例。患者功能恢复良好。
结论:该方法为采取微创技术进行骨折治疗提供了新思路,手术操作简单、出血少、损伤少、固定牢靠。 |
| [关键词]:骶髂关节 脱位 外科手术,计算机辅助 成像,三维 |
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| Treatment of sacro-iliac joint dislocation by putting lag screw with CT guiding |
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Abstract:
Objective:To study therapeutic effects of application of CT to the treatment of sacro-iliac joint dislocation with lag screw.
Methods:Twelve patients with Type C pelvic fractures were reviewed in the study.CT was used to locate the first sacral vertebra,as well as to guide placement of guide pin.The length of cancellous screws were determined by measurement of CT and replacement length of guide pin.The gradual reduction of sacro-iliac joint could be observed by CT scan.
Results:The dislocation of all patients reached reduction.Ten patients were followed up from 8 to 15 months.According to therapeutic criterion,7 patients obtained excellent results,2 good and 1 poor.The joint functions of all patients recovered well.
Conclusion:This operation has such advantages as simple operative procedure,little blooding,mini injury and strong fixation,which provides a new mini-wound method to treat fracture. |
| KEYWORDS:Sacroiliac joint Dislocation Surgery,computer-assisted Imaging,three-dimensional |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 尹飚,丁焕文,尹庆水.CT引导下置入螺钉治疗骶髂关节脱位[J].中国骨伤,2006,19(3):142~143 |
| 英文格式: | YIN Biao,DING Huan-wen,YIN Qing-shui.Treatment of sacro-iliac joint dislocation by putting lag screw with CT guiding[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(3):142~143 |
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