摘要
目的:探讨开放性骶髂关节脱位机制及救治特点。方法:对1972年12月～1995年12月收治的12例开放性骶髂关节脱位的临床资料进行回顾性分析。结果:治愈10例,死亡2例。平均随访7.8年,复位良好8例,轻度分离2例。骶髂关节炎8例,顽固性尾骨痛4例。结论:(1)造成开放性骶髂关节脱位的两个主要条件,一是直接作用应力强大集中,二是直接作用应力方向与关节面平行。(2)脱位分为旋转型(7例)和分离型(5例)。(3)早期手法复位、骨盆悬吊兜双下肢牵引及分三步处理创面是治疗取得成功的关键。(4)骶髂关节融合术和尾骨切除术对于严重骶髂关节炎及顽固性尾骨痛有较好疗效。
Aim:This paper presents a report of 12 cases of open dislocation of sacroiliac joint,with an objective to discuss the mechanism and therapeutic characteristics of the injury.Methods:The data of all cases,treated from Dec. 1972 to Dec.1995,were analyzed retrospectively.Results:Of all eases,ten were cured and two died.The average fol- low-up time was 7.8 years.Eight cases got very good reduction and 2 resulted in slight separation.Eight were accompa- nied with saeroiliitis,and 2 with persistent coccyalgia.Conclusion:(1)There are two main factors which cause open dislocation of sacroiliac joint,the strong stress focusing directly on the joint and the stress parallel with the surface of the joint.(2)the dislocation can be divided into a rotary type(7 cases)and a separative type(5 cases).(3)Early man- ual reposition,traction of two lower limbs with pelvic suspensory pocket and curing the surface of the wound in 3 steps are the key to the successful treatment of injury.(4)Joint fusion and coccygectomy have good effects on severe sacroili- itis and persistent coccyalgia.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1996年第5期286-288,共3页
Chinese Journal of Trauma
