摘要
目的探讨AO外固定架对不稳定性骨盆骨折治疗的疗效和经验。方法回顾性分析24例(13例结合内固定治疗)AO外固定架治疗不稳定性骨盆骨折患者,总结该治疗方法的经验及体会。结果除1例因腹腔脏器破裂大量失血在固定后1d死于失血性休克外,其余23例平均随访13个月,按Matta评定标准,优良率达87.5%。结论①多数情况下单纯外固定架可改善骨盆的稳定性,也可作为终极治疗手段,必要时与内固定结合可增加骨盆的稳定性;②单纯外固定架固定可用于绝大多数B型及部分C型骨折的治疗;③对那些严重损伤,骨盆稳定性差,合并有其它脏器损伤患者,急诊期骨盆外固定架治疗效果显著。
Objective To report our experience of using simple anterior pelvic external fixation （SAPEF） frames to treat the unstable pelvic fractures. Methods 24 patients with unstable pelvic ring disruption were treated with SAPEF in our department, 13 of whom were treated by internal fixation combined with SAPEF. Their data were retrospectively analyzed. Results 1 patient died from hemorrhagic shock in less than 24 hours after injury, and the other 23 patients were followed up for an average of 13 months. According to Matta evaluation system, 21 cases got an excellent or good result, but only 2 cases failed, with the excellent and good rate being 87.5%. Conclusions SAPEF can serve as a resuscitative temporary fixation device, as a definitive pelvic treatment, or as a supplement for pelvic internal fixation implants. Most of the unstable fractures （such as type B and type C1） can be treated by only anterior ring fixation as a last fixation device. For severe patients with other associated important organ injuries or hemorrhagic shock, it produces remarkable curative effects.
出处
《中华创伤骨科杂志》
CAS
CSCD
2005年第9期837-839,共3页
Chinese Journal of Orthopaedic Trauma
