摘要
目的探讨经皮骶髂关节螺钉与骶髂关节前方钢板固定治疗不稳定型骨盆骨折的疗效。方法选取40例不稳定型骨盆骨折患者,按住院单双号分为两组。对照组(20例)给予骶髂关节前方钢板固定治疗,观察组(20例)给予经皮骶髂关节螺钉治疗,观察并记录两组围手术期指标、Majeed评分及随访6个月期间并发症发生情况。结果观察组手术时间、术中出血量、住院时间均明显优于对照组(P<0.05);观察组患者手术治疗的优良率明显高于对照组(P<0.05),随访期间,观察组患者并发症发生率明显低于对照组(P<0.05)。结论经皮骶髂关节螺钉手术对不稳定型骨盆骨折具有较好的治疗效果,手术时间短,患者恢复快,术后并发症少,值得临床应用。
Objective To investigate the efficacy of percutaneous sacroiliac joint screw fixation and anterior sacroiliac joint plate fixation in the treatment of unstable pelvic fractures. Methods Forty cases of patients with unstable pelvic fractures were divided into two groups according to odd and even numbers. The control group （odd numbers, 20 cases） was given anterior sacroiliac joint plated fixation, while the observation group （20 cases） was given percutaneous sacroiliac joint screw. The efficacy of the two groups were evaluated with perioperative indexes, Majeed scores and complications during 6 months follow-up. Results The operative time, blood loss and hospitalization time of the observation group were significantly superior to those of the control group （P〈0.05）; the excellent rate of the observation group was significantly higher than that of the control group （P〈0.05）; during follow-up, the complication rate of the observation group was lower than that of the control group （P〈0.05）. Conclusion Percutaneous sacroiliac joint screw fixation has a good therapeutic effect on unstable pelvic fracture, with less operation time and fewer complications, so as to promote the recovery of patients, which is worthy of clinical application.
出处
《临床医学研究与实践》
2016年第24期62-63,共2页
Clinical Research and Practice
关键词
经皮骶髂关节螺钉
骶髂关节前方钢板
不稳定型骨盆骨折
percutaneous screw fixation
sacroiliac joint anterior plated fixation
unstable pelvic fracture
