摘要
【目的】观察不同类型不稳定性骨盆骨折的解剖特点,以及切开复位内固定术结合中医分期辨证治疗的疗效。【方法】将19例骨盆骨折按Tile骨盆骨折分型,B型12例(其中B1型6例,B2型3例,B3型3例),C型7例(其中C1型3例,C2型2例,C3型2例)。所有病例均采用切开复位骨盆重建钢板内固定术,恢复骨盆前后环解剖结构的稳定。术后按骨折早、中、晚三期配合中医辨证用药(早期用桃核承气汤,中期用续骨活血汤,后期用养筋健骨汤),并在术口愈合后给予局部外敷跌打药膏。【结果】术后19例,随访12～36个月,平均18个月,所有骨折及脱位在3～6个月愈合,疗效满意,患者全部恢复正常生活及行走功能。按Majeed疗效评价,优良17例,差2例,优良率为89.47%。【结论】根据骨盆骨折的分型采取不同手术方法,以骨盆重建钢板复位固定,并配合中医三期辨证用药的中西医结合治疗方法,是一种较好的治疗骨盆骨折、重建骨盆稳定的方法。
Objective To investigate the anatomical features of different types of unstable fractures of pelvic ring,and to observe the therapeutic effect of open reduction and internal fixation combined with three-stage syndrome differentiation and treatment.Methods Nineteen patients with pelvic fracture were classified according to Tile＇s classification for pelvic fracture.Of 19 patients,12 were classified into type B（6 being type B1,3 type B2,and 3 type B3）,and 7 into type C（3 being type C1,2 type C2,and 2 type C3）.All of the patients received pelvic reconstruction through open reduction and internal fixation with titanium plate.After treatment,three-stage syndrome differentiation and treatment were carried out： Taohe Chengqi Decoction was used in the early stage of fractures,Xugu Huoxue Decoction in the middle stage and Yangjin Jiangu Decoction in the late stage.Meanwhile,traumatic ointment was applied on the affected region after the union of operation wound.Results After operation,the follow-up was carried out in all of the patients for 12 ～ 36 months,averaged 18 months.The results of follow-up showed that the fractures and dislocation of all the patients were healed within 3 ～ 6 months,and the patients obtained the normal life and walking function.The results of Majeed＇s classification showed that 17 were effective,2 ineffective and the effective rate was 89.47%.Conclusion According to the classification of pelvic fractures,it is a better method for pelvic fractures by pelvic reconstruction through different methods of open reduction and internal fixation with titanium plate,and then by three-stage syndrome differentiation and treatment.
出处
《广州中医药大学学报》
CAS
2010年第4期327-329,共3页
Journal of Guangzhou University of Traditional Chinese Medicine
