摘要
目的总结微创钢板内固定治疗不稳定型骨盆骨折的疗效。方法 2006年5月-2009年12月,收治不稳定型骨盆骨折21例。男13例,女8例;年龄21～66岁,平均39岁。致伤原因:交通事故伤9例,高处坠落伤6例,重物砸伤6例。受伤至入院时间1～4h,平均2.8h。骨折根据Tile分型:B型12例,C型9例。入院后行骨牵引、骨盆带固定,于伤后5～24d行微创钢板内固定治疗。结果术后切口均Ⅰ期愈合,无神经、血管损伤等并发症发生。骨折复位按Matta影像学评分标准评定:解剖复位16例,满意复位4例,可1例。患者均获随访12个月。X线片示骨折均愈合,愈合时间为2～4个月,平均2.6个月。末次随访时采用Majeed骨盆骨折评分标准评定疗效:获优12例,良7例,可2例。结论对不稳定型骨盆骨折,微创钢板能提供有效固定,重建骨盆环稳定性,减少围手术期并发症。
Objective To investigate the effectiveness of minimally invasive plate fixation in treatment of unstable pelvic fractures.Methods Between May 2006 and December 2009,21 patients with unstable pelvic fractures were treated.There were 13 males and 8 females with an average age of 39 years（range,21-66 years）.The causes of injury included traffic accident in 9 cases,falling from height in 6 cases,and heavy pound injury in 6 cases.The time from injury to hospitalization was 1 to 4 hours with an average of 2.8 hours.According to Tile’s classification,there were 12 cases of type B and 9 cases of type C.After admission,bone traction and exo fixation were performed,and minimally invasive plate fixation was given at 5-24 days after injury.Results All incisions healed by first intention,and no complications of nerve and vessel injuries occurred.According to the reduction criteria of Matta radiography,anatomic reduction was achieved in 16 cases,satisfactory reduction in 4 cases,and fair reduction in 1 case.All patients were followed up 12 months.The X-ray films showed all fractures healed at 2-4 months（mean,2.6 months）.According to Majeed clinical evaluation,the results were excellent in 12 cases,good in 7 cases,and fair in 2 cases.Conclusion Minimally invasive plate fixation can provide effective fixation,reconstruct pelvic ring,and reduce perioperative complications in the treatment of unstable pelvic fractures
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2011年第9期1087-1089,共3页
Chinese Journal of Reparative and Reconstructive Surgery
基金
上海市浦东新区卫生局重点学科资助项目(PWZxk2010-08)~~
关键词
不稳定型骨盆骨折
微创手术
钢板内固定
Unstable pelvic fracture Minimally invasive surgery Plate fixation
