| CT引导下经皮空心拉力螺钉固定治疗骶髂关节损伤 |
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Received:August 12, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 李明 |
LI Ming |
宁波市第六医院骨科,浙江宁波315040 |
Department of Orthopaedics,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
angells9@sohu.com |
| 李开凡 |
LI Kai-fan |
湖北中医药高等专科学校外科系 |
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| 徐荣明 |
XU Rong-ming |
宁波市第六医院骨科,浙江宁波315040 |
Department of Orthopaedics,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
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| 校佰平 |
XIAO Bai-ping |
宁波市第六医院骨科,浙江宁波315040 |
Department of Orthopaedics,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
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| 毛伟民 |
MAO Wei-min |
宁波市第六医院骨科,浙江宁波315040 |
Department of Orthopaedics,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
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| 裘邯军 |
QIU Han-jun |
奉化市中医院骨科 |
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| 期刊信息：《中国骨伤》2006年19卷，第9期，第526-528页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨CT引导下经皮空心钛合金拉力螺钉内固定治疗骶髂关节损伤的临床疗效。
方法:骶髂关节损伤患者36例,其中男26例,女10例;年龄19~68岁,平均35岁。ISS评分平均19分。按Tile分类:B1型6例,B2型16例,B3型4例;C1型4例,C2型3例,C3型3例。入院至手术时间平均5d。采用CT引导下经皮空心钛合金拉力螺钉内固定术治疗,硬膜外麻醉下共置入48枚空心钛合金拉力螺钉。
结果:手术时间30~110min,平均42min;术中失血10~35ml,平均18ml。1例因肺功能障碍延迟手术,1例行开颅术,死于多脏器衰竭。术后随访3~27个月,平均17.9个月。依据骨盆创伤治疗标准,影像学评价优29例,良6例,差1例;临床评价优23例,良13例。并发症包括轻度下腰痛1例、骶尾部痛1例。
结论:CT引导下经皮空心钛合金拉力螺钉内固定治疗骶髂关节损伤,置钉精确,安全有效,并发症少。 |
| [关键词]:骶髂关节 骨折固定术,内 创伤和损伤 |
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| CT guided percutaneous cannulated lag screw fixation treating sacroiliac joint trauma |
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Abstract:
Objective:To explore the clinical results of the percutaneous internal fixation of sacroiliac joint trauma by CT guided technique.
Methods:Thirty-six patients with pelvic inchuded 26 male and 10 female with the average age of 35 years,ranging from 19 to 68 years.The average score of ISS was 19. According to Tile classification,6 patients were in Type B1,16 in B2,4 in B3,4 in C1,3 in C2 and 3 in C3.The average time from admission to operation was 5 days.All patients underwent the percutaneous internal fixation of sacroiliac joint trauma by CT guided technique,48 percutaneous Ti-alloy lag screws were inserted under epidural anesthesia.
Results: The average time of procedure was 42 minutes ranging from 30 to 110 minutes;the average blood loss was 18 ml ranging from 10 to 35 ml during operation.One patient delayed operation due to respiratory difficulties and one underwent craniotomy but postoperative death related to MOF.After a period of 3 to 27 months followed-up,according to effective standard of peliv trauma,the result of radiography was excellent in 29 patients,good in 6 and poor in 1;the clinical evaluation was exellent in 23,good in 13.The complications concluded lower back pain in 1 patient and sacroiliac pain in 1 patient.
Conclusion: CT guided lag screw fixation for treatment of sacroiliac joint injuries minimizes operative procedure with few subsequent complications and allows the patients early mobilization. |
| KEYWORDS:Sacroiliac joint Fracture fixation,internal Wounds and injuries |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李明,李开凡,徐荣明,校佰平,毛伟民,裘邯军.CT引导下经皮空心拉力螺钉固定治疗骶髂关节损伤[J].中国骨伤,2006,19(9):526~528 |
| 英文格式: | LI Ming,LI Kai-fan,XU Rong-ming,XIAO Bai-ping,MAO Wei-min,QIU Han-jun.CT guided percutaneous cannulated lag screw fixation treating sacroiliac joint trauma[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(9):526~528 |
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