| 耻骨联合分离的治疗策略 |
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Received:February 05, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 周建明 |
ZHOU Jian-ming |
诸暨市人民医院骨科，浙江 诸暨 311800 |
Department of Orthopedics,the People's Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
zhou-jm@163.com |
| 章银灿 |
ZHANG Yin-can |
诸暨市人民医院骨科，浙江 诸暨 311800 |
Department of Orthopedics,the People's Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 石高才 |
SHI Gao-cai |
诸暨市人民医院骨科，浙江 诸暨 311800 |
Department of Orthopedics,the People's Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 方伟松 |
FANG Wei-song |
诸暨市人民医院骨科，浙江 诸暨 311800 |
Department of Orthopedics,the People's Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年21卷，第1期，第58-59页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨耻骨联合分离的治疗方法和疗效。
方法：13例耻骨联合分离患者，男7例，女6例；年龄20～ 54岁，平均35岁。根据耻骨联合分离后骨盆的稳定情况将其分为3型，Ⅰ型损伤5例采用保守治疗，Ⅱ型损伤5例采用外固定支架复位固定，Ⅲ型损伤3例采用后路内固定加前路外固定支架复位固定。
结果：13例患者均获随访，随访时间4～62个月，平均14个月。根据复位情况、疼痛、步态、肢体长度、髋关节活动度做疗效综合评价，优7例，良5例，可1例，优良率92.3%.
结论：针对不同病例特点耻骨联合病例应选择不同治疗方案，外固定支架治疗耻骨联合分离具有操作简单、创伤小、固定牢靠等优点。 |
| [关键词]:耻骨联合分离 外固定器 支架(骨科) |
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| Treatment strategies for the diastasis of the symphysis pubis |
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Abstract:
Objective: To investigate treatment methods and therapeutic effects of the diastasis of the symphysis pubis.
Methods: Thirteen patients with diastasis of the symphysis pubis,including 7 male and 6 female,ranging in age from 20 to 54 years,were treated according to classification based on the pelvic stability. Five patients of type I were treated with conservative methods,five patients of type Ⅱ were treated with external fixation,and three patients with type Ⅲ were treated with posterior internal fixation combined with anterior external fixation.
Results: All the patients were followed-up and the duration of the follow-up ranged from 4 to 62 months,with an average of 14 months. According to the reduction,pain,gait,limb length and movement of hip,the therapeutic effects were evaluated. There were 7 patients obtaining excellent results,5 good, 1 fair,the excellent and good rate was 92.3%.
Conclusion: Treatment methods should be chosen in view of the differences of the patients with diastasis of the symphysis pubis. The external fixation has advantages of simple operation,decreased wound and stable fixation. |
| KEYWORDS:Symphysis pubis diastasis External fixators Braces |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 周建明,章银灿,石高才,方伟松.耻骨联合分离的治疗策略[J].中国骨伤,2008,21(1):58~59 |
| 英文格式: | ZHOU Jian-ming,ZHANG Yin-can,SHI Gao-cai,FANG Wei-song.Treatment strategies for the diastasis of the symphysis pubis[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(1):58~59 |
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