摘要
目的:探讨经皮空心钉治疗骶骨纵行骨折的方法及疗效评价。方法:1999年1月至2006年12月治疗骶骨纵行骨折患者24例,其中男15例,女9例;年龄18~61岁,平均35岁。按照Denis分类法,Ⅰ型6例,Ⅱ型11例,Ⅲ型7例,均采用经皮空心钉固定。结果:手术时间30~65min,平均48min。全部获得随访,时间3~36个月,平均18.6个月。参照改良的骨盆创伤治疗标准,影像学评价优18例,良5例,差1例;临床评价优16例,良8例。结论:经皮空心钉固定治疗骶骨纵行骨折,置钉精确,安全有效,并发症少.
Objective :To introduce percutaneous hollow screws for treatment of the vertical sacrum longitudinal fracture and evaluate the preliminary therapeutic outcomes. Methods:From January 1999 to December 2006,24 cases with vertical sacrum longitudinal fractures inehuded 15 males and 9 females were treated by pereutaneous hollow screws ,with an average age of 35 years ranging from 18 to 61 years. Aecordng to Denis'classification of sacral fracture, there were 6 cases of type Ⅰ , 11 of type Ⅱ and 7 of type Ⅲ. Results:The operation lasted for 30 to 65 minutes(averaged 48 minutes). All of them were followed up for 3 to 36 months (averaged 18.6 months ). According to improved effective standard of pelvic trauma, the result of radiography was excellent in 18 eases, good in 5 and poor in 1, and the clinical evaluation was exellent in 16, good in 8. Conclusion: Treatment of the vertical sacrum longitudinal fracture with percutaneous hollow screws is a comparatively reliable method and has the advantages of more precise with few postoperative complications and allows the patient early mobilization.
出处
《中国骨伤》
CAS
2009年第5期390-391,共2页
China Journal of Orthopaedics and Traumatology
关键词
骶骨
骨折
骨折固定术
内
Sacrum
Fractures
Fracture fixation,internal