| 经皮螺钉内固定结合支架外固定治疗Tile C型骨盆骨折 |
| 投稿时间：2015-08-13 修订日期：2015-08-26 点此下载全文 |
| 引用本文：周英勇,程少文,陈克伟,李红波,顾运涛,孟珠龙,彭磊.经皮螺钉内固定结合支架外固定治疗Tile C型骨盆骨折[J].医学研究杂志,2016,45(4):116-119,125 |
| DOI：
10.11969/j.issn.1673-548X.2016.04.031 |
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| 基金项目:海南省社会发展科技专项基金资助项目(SF201416);海南省卫生厅重点项目(琼卫2013重点-06号) |
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| 中文摘要:目的 评价经皮螺钉内固定结合支架外固定治疗Tile C型骨盆骨折的疗效。方法 采用经皮螺钉内固定结合支架外固定治疗Tile C型骨盆骨折患者28例,术后随访观察骨折愈合及髋部功能恢复情况。结果 28例患者均成功随访,随访时间3~24个月(平均18个月)。全部病例均在6个月内Ⅰ期愈合(平均3.8个月),1例出现大腿外侧皮肤麻木感,考虑股外侧皮神经损伤,对症治疗1个月后症状缓解;2例出现钉道反应,加强换药后反应消失。随访按Tornetta标准评价:19例优,7例良好,2例可,优良率92.8%;按Majeed功能评分表评分:16例优,8例良好,3例可,1例较差,优良率85.7%。结论 经皮螺钉内固定结合支架外固定治疗Tile C型骨盆骨折微创、安全、有效,值得临床推广应用。 |
| 中文关键词:骨盆骨折 经皮 螺钉内固定 外固定支架 |
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| Treatment of Tile C Type Pelvic Fractures by Percutaneous Screw Internal Fixation Combined with External Fixation |
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| Abstract:Objective To discuss the clinical outcomes of percutaneous screw internal fixation combined with external fixation in treatment of Tile C type pelvic fractures. Methods Twenty eight patients with Tile C type pelvic fractures were treated with percutaneous screw internal fixation combined with external fixation. After the operation, following-up observation of fracture healing and the hip joint function recovery was perfomed. Results All 28 patients were followed up for 3 to 24 months (average, 18 months). All patients were healed within 6 months (average 3.8 months).1 patients felt numbness of the lateral skin of thigh. It was considered that it was caused by the injury of the lateral cutaneous nerve of the thigh.After 1 months of treatment, the symptoms were relieved.Two patients happened infection reaction associated with screw.It disappeared after treatment.According to the Tornetta standard, the results were excellent in 19 cases, good in 7 cases, fair in 2 cases.The total excellence rates amounting to 92.8%. According to Majeed functional scoring, the results were excellent in 16 cases, good in 8 cases, fair in 3 cases, poor in 1 case.the total excellence rates amounting to 85.7%. Conclusion Percutaneous screw internal fixation combined with external fixation is minimally invasive, safe and effective in treatment of Tile C type pelvic fractures. therefore, it is worth promoting and applying in clinics. |
| keywords:Pelvic fractures Percutaneous Screw internal fixation External fixation |
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