摘要
目的比较切开复位内固定重建手术与保守治疗骨盆C型骨折的效果。方法将50例骨盆C型骨折患者随机等分为对照组(保守骨牵引)和观察组(切开复位内固定重建手术);分析两组的临床治疗效果,一般时间指标,定期随访并记录术后恢复情况及并发症。结果观察组的优良率高于对照组(P<0.05);手术时间长于对照组(P<0.01),早期锻炼时间短于对照组(P<0.05),复位满意率(P<0.05)和功能优良率(P<0.01)均高于对照组;观察组的术后尿道狭窄、性功能轻度障碍、骶髂关节融合的发生率均低于对照组(P<0.05)。结论切开复位内固定重建手术治疗骨盆C型骨折的效果较好,不仅提高临床治疗效果及功能恢复情况,而且降低并发症发生率。
Objective To compare open reduction and internal fixation operation and conservative treatment of type C pelvic fractures.Methods 50 cases of type C pelvic fracture patients were randomly divided into control group（conservative bone traction） and observation group（open reduction and internal fixation operation）;analysis of clinical therapeutic effect of two groups,the general index of time,recovery and complications of regular follow-up after operation was recorded.Results the excellent and good rate in the observation group than in the control group（P0.05）;operation time is longer than that of the control group（P0.01）,early exercise time was shorter than the control group（P0.05）,satisfactory reduction rate（P0.05） and the excellent and good rate（P0.01）were higher than the control group;the observation group postoperative urethral narrow,mild disorder,sexual function of sacroiliac joint fusion rates were lower than the control group（P0.05）.Conclusion open reduction and internal fixation reconstruction operation for the treatment of type C pelvic fracture is better,not only improve the clinical treatment effect and functional recovery,and reduce the incidence of complications.
出处
《四川医学》
CAS
2013年第6期870-871,共2页
Sichuan Medical Journal
关键词
切开复位内固定重建手术
保守治疗
骨盆C型骨折
治疗效果
open reduction and internal fixation operation
conservative treatment
type C pelvic fracture
treatment effect
