摘要
目的评价C形臂引导下应用经皮骶髂螺钉固定骨盆后环治疗C型骨盆骨折的安全性及疗效。方法回顾分析应用经皮骶髂螺钉固定骨盆后环的C型骨盆骨折患者35例,骶髂螺钉均为7.0mm直径的半螺纹空心螺钉,其中8例行双侧螺钉固定,5例行单侧2枚螺钉固定,22例行单侧一枚螺钉固定。应用术后和随访中详细的神经检查和X线检查结果评估其安全性和治疗效果。结果手术时间15-55 min,平均28 min,术中平均累积X线透视时间为4min。术后25例均获得随访,时间3-36个月,平均15.5个月。所有患者均无医源性神经损伤;除2例患者骶髂螺钉欠佳外,其余骶髂螺钉位置良好,未见到螺钉移位现象;术后6个月患者均恢复行走功能,其中6例患者出现生理负荷下骶髂部疼痛;没有需要再手术的患者。结论C形臂引导下经皮骶髂螺钉固定技术是一种治疗C型骨盆骨折安全、有效、微创的方法。
Objective To evaluate the safety and efficacy of using C arm fluoroscopic guided pereutaneous iliosaeral screws for C-type pelvic fracture fixation. Mehtods Retrospective analysis was performed. Thirty-five patients with C-type pelvic fracture were treated with percuteaneous iliosacral screws. The iliosacral screws were short threaded cancellous 7.0mm cannulated screw. Eight patients had bilateral screw fixations; 5 patients had unilateral double screw fixation; and 22 patients had unilateral single screw fixation. The safety and efficacy were assessed by detailed neurologic examinations and radiographs view after operation and during follow-up period. Results The operative time were 15 55min,averaged 28min, with average 4min of fluoroscopy during operation. A follow up of 3-36 months（average 15.5 months）in 25 five patients showed that there were no iatrogenic nerve injuries in all patients. The position of iliosacral screws was good in all cases except 2 cases,and no screw displace discovered . All patients achieved union and recovered walk after 6 months of peration,6 patients had iliosacra pain under physiological stress. No patient required reoperation. Conclusion C-arm fluoroscopic guided percuteaneous iliosacral screws fixation is a safe, effective and minivulnerarious technique for C-type pelvic fracture.
出处
《重庆医学》
CAS
CSCD
2007年第11期1026-1027,1030,共3页
Chongqing medicine
关键词
骨盆骨折
骶髂螺钉
C型臂
pelvis fracture
iliosacral screw
C-arm fluoroscopic
