| 骨盆骨折微创手术治疗的可行性研究 |
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Received:September 22, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 吕荷荣 |
LV He-rong |
温州市龙湾区第一人民医院骨伤科，浙江 温州 325024 |
Department of Traumatic Orthopaedics,the First People's Hospital of Longwan,Wenzhou 325024,Zhejiang,China |
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| 何治勇 |
HE Zhi-yong |
温州市龙湾区第一人民医院骨伤科，浙江 温州 325024 |
Department of Traumatic Orthopaedics,the First People's Hospital of Longwan,Wenzhou 325024,Zhejiang,China |
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| 李国 |
LI Guo |
温州市龙湾区第一人民医院骨伤科，浙江 温州 325024 |
Department of Traumatic Orthopaedics,the First People's Hospital of Longwan,Wenzhou 325024,Zhejiang,China |
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| 王艮存 |
WANG Gen-cun |
温州市龙湾区第一人民医院骨伤科，浙江 温州 325024 |
Department of Traumatic Orthopaedics,the First People's Hospital of Longwan,Wenzhou 325024,Zhejiang,China |
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| 张建军 |
ZHANG Jian-jun |
温州市龙湾区第一人民医院骨伤科，浙江 温州 325024 |
Department of Traumatic Orthopaedics,the First People's Hospital of Longwan,Wenzhou 325024,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年21卷，第11期，第818-821页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨应用微创手术治疗骨盆骨折的可行性。
方法：微创手术治疗26例骨盆骨折患者，男15例，女11例；年龄20～62岁，平均40岁。均为闭合性骨折，单侧骨盆环破坏17例，双侧骨盆环破坏9例。骨盆后环损伤类型：骶髂关节脱位8例，骶骨外侧纵形骨折12例；骨盆前环损伤类型：单侧耻骨坐骨支骨折9例，双侧耻骨坐骨支骨折7例，耻骨联合分离6例；合并休克6例。前环应用经皮耻骨上支拉力螺钉固定术，耻骨联合拉力螺钉固定术；后环采用经皮骶髂关节拉力螺钉固定术或骶骨棒固定术。术前摄骨盆CR片，骨盆螺旋CT检查，了解骨折表面及内部的细节，明确骨折情况。采用体表定位结合C形臂引导手术。
结果：术中失血10～50 ml,平均30 ml;手术时间30～50 min.CR观察骨折愈合时间8～12周，平均11周。无伤口感染、骨折不愈合、神经损伤等。
结论：在掌握好手术适应证的前提下，微创手术具有创伤小、手术时间短、效果好、恢复快、并发症少等优点。 |
| [关键词]:骨盆骨折 耻骨上支 骶髂关节 骶骨骨折 外科手术,微创性 骨折固定术,内 |
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| Feasible study of the minimal-invasive surgical treatment for the pelvis fractures |
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Abstract:
Objective: To discuss feasibility of minimal-invasive surgical treatment of the pelvis fractures.
Methods: Twenty-six patients with pelvis fractures were treated by micro-surgical treatment. There were 15 male and 11 female with an average age of 40 years ranging from 20 to 62 years. All patients were closed fractures,17 patients were hemi-pelvis fractures,9 patients were bilateral-pelvis fractures. The fracture type of posterior ring of pelvis as follows:8 patients were sacro-iliac joint dislocation,12 patients were vertical section fractures in the outboard of the sacrum. The fracture type of anterior ring of pelvis as follows:9 patients were hemi-fracture of rami ossis pubisi or hemi-fracture of rami ischi,7 patients were bilateral-fracture of rami ossis pubisi or bilateral-fracture of rami ischii,6 patients were separation of symphysis pubis. Six patients accompanied with shock. Anterior ring of pelvis was fixation by lag screw via superior ramus of pubis and pubic symphysis;Posterior ring of pelvis was fixation by lag screw via sacroiliac joint or intrasacral rod via ilium. X-ray films and multi-slice spiral CT of pelvis was obtained in order to understand exterior and inner details about pelvis fractures. Adopt orientation in body and inducted by C-arm digital subtracting X-ray system when operating.
Results: Blood loss was about 10 to 50 ml(mean 30 ml). Operation time was 30 to 50 minutes. Time of fracture union was 8 to 12 weeks(mean 11 weeks). Wound infection,ununion of fracture and nerve injuries had not been found.
Conclusion: Minimally invasive operation has the merit of short operation time,fine effect,soon recovering and few complication. |
| KEYWORDS:Pelvis fractures Superior ramus of pubis Sacroiliac joint Sacrum fractures Surgical procedures,minimally invasive 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: | 吕荷荣,何治勇,李国,王艮存,张建军.骨盆骨折微创手术治疗的可行性研究[J].中国骨伤,2008,21(11):818~821 |
| 英文格式: | LV He-rong,HE Zhi-yong,LI Guo,WANG Gen-cun,ZHANG Jian-jun.Feasible study of the minimal-invasive surgical treatment for the pelvis fractures[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(11):818~821 |
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