摘要
目的:总结伴有骶髂关节完全性前脱位的骨盆骨折的治疗经验。方法:对北京积水潭医院2008年2月至2014年3月收治的6例伴有骶髂关节完全性前脱位骨盆骨折的资料进行回顾性分析,描述患者病史、损伤程度、急诊救治等特征,通过影像学判断损伤情况,给予手术治疗,术后功能锻炼,并对患者进行随访以评估术后恢复情况,总结治疗经验。结果:全部6例患者术后愈合良好,无感染和术后神经症状出现,X线示骶髂关节复位良好。随访1.6年(8个月至2年),患者6个月后Majeed功能评分优2例、良2例、可1例、差1例,评分差的病例主要表现为持续疼痛,肢体活动能力下降,行走长距离时需用手杖,有跛行。评分低的2例患者不能恢复原有工作。结论:伴有骶髂关节完全性前脱位的骨盆骨折是一种特殊类型的损伤,急诊处理困难,应尽早手术,前方入路有利于脱位的复位和固定。
Objective：To investigate the management of pelvic injury associated with complete anterior sacroiliac joint dislocation.Methods：In the study, 6 cases of pelvic injury associated with complete an-terior sacroiliac joint dislocation treated in Beijing Jishuitan Hospital from February 2008 to June 2014 were analyzed.We described the history and severity of injury, emergency treatment, and fracture radio-logy.In all the cases, the surgical treatment and postoperative functional exercise were performed.We followed up all the cases on an average of 1.6 years, assessed the postoperative recovery and summed up the treatment experience.Results：All the 6 patients with fractures recovered without infection and nerve symptoms after surgery.Their X-rays showed good reduction of sacroiliac joints.All the cases were followed up on an average of 1.6 years.Six months after surgery, the Majeed scores were perfect in 2 cases, good in 2, fair in 1, and poor in 1.The patients with poor scores suffered persistent pain, and decreased physical activity, and when walking long distances, they needed a walking stick.The 2 patients with low scores could not resume the original work.Conclusion：Pelvic injury associated with complete anterior sacroiliac joint dislocation is a special type of the pelvic injury since the managements during the emergency phase are difficult.The surgery should be done as early as possible, and the anterior approach is available for the reduction and fixation.
出处
《北京大学学报（医学版）》
CAS
CSCD
北大核心
2015年第2期276-280,共5页
Journal of Peking University:Health Sciences
关键词
骨盆骨
骨折
骶髂关节
脱位
外科手术
Pelvic bones
Fracture,bone
Sacroiliac joint
Dislocations
Surgical procedures,operative
