| 两种骨盆骨折外固定置钉方法的临床疗效对比研究 |
| 投稿时间：2015-03-30 修订日期：2015-05-12 点此下载全文 |
| 引用本文：张立.两种骨盆骨折外固定置钉方法的临床疗效对比研究[J].医学研究杂志,2015,44(12):151-153,156 |
| DOI：
10.11969/j.issn.1673-548X.2015.12.042 |
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| 中文摘要:目的系统评价髋臼上方置钉及髂嵴置钉骨盆外固定技术应用于骨盆骨折治疗中的临床价值。方法选择2012年1月~2014年12月骨科收治的80例骨盆骨折患者进行研究,根据治疗中置钉方式的不同划分为研究组(n=40,髋臼上方置钉骨盆外固定治疗)和对照组(n=40,髂嵴置钉骨盆外固定治疗);分析总结两组手术情况、术后骨折恢复情况、骨盆功能恢复及术后并发症。结果两组手术时间、出血量比较,差异有统计学意义(t=21.86、28.10,P<0.05)。研究组骨折愈合优良率(92.5%)、骨盆功能恢复优良率(90.0%)均高于对照组(80.0%、75.0%),术后并发症率(7.5%)低于对照组(22.5%);组间差异有统计学意义(P<0.05)。结论髋臼上方置钉骨盆外固定治疗骨盆骨折可有效促进骨折愈合,保证骨盆功能的恢复,且手术耗时短、安全性高,建议在临床治疗中优先选择使用。 |
| 中文关键词:髋臼上方置钉 髂嵴置钉 外固定治疗 骨盆骨折 |
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| Comparative Study on Clinical Therapeutic Effect of Nail Fixation Method of Two Kinds of Pelvic Fracture. |
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| Abstract:Objective This paper is to systematically evaluate clinical value of pelvic nailing external fixation technique above acetabulum applied in the treatment of pelvic fractures. Methods Eighty patients with pelvic fractures admitted by the Department of Orthopaedics from January, 2012 to December 2012 were investigated, and they were divided into the research group (40 patients were subject to pelvic nailing external fixation treatment above the acetabulum) and control group (40 patients were subject to iliac crest nailing pelvic external fixation treatment). Surgical conditions, postoperative recovery, pelvic fracture functional recovery and postoperative complications of patients in two groups were compared. Results The comparisons in the operation duration and blood loss satisfied t=21.86 and 28.10 respectively, P<0.05, and the difference in statistically significant. Both the good rate for fracture healing (92.5%) and pelvic function recovery (90.0%) of patients in the control group were higher than those of patients in the control group (80.0%, 75.0%). Postoperative complications rate (7.5%) of patients in the research group was lower than that of patients in the control group (22.5%). The inter-group differences were significant(P<0.05). Conclusion Pelvic nailing external fixation above acetabulum to treat pelvic fractures can effectively promote fracture healing, guarantee the recovery of pelvis function, and it delivers short operation duration, high safety, thus it is recommended to be preferentially used in clinical treatment. |
| keywords:Nailing above acetabulum Iliac crest nailing External fixation treatment Pelvic fracture |
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