摘要
目的探讨全螺纹加压无头空心螺钉经皮固定治疗骨盆骨折的疗效。方法 2008年3月-2010年4月对31例骨盆骨折患者行全螺纹加压无头空心螺钉经皮内固定(手术组),并与同期行保守治疗的14例骨盆骨折患者(对照组)临床疗效进行比较。两组患者年龄、性别构成比比较差异无统计学意义(P>0.05),骨折Tile分型对照组轻于手术组。伤后近期恢复以床上可主动翻身和至下床助行器辅助下行走达到5步为标准。远期疗效随访根据疼痛、步态、骨折愈合和功能恢复四方面评价。结果手术组除1例术前伴骶丛神经损伤患者外,其余患者于伤后1～4 d达近期恢复标准;对照组A2型、B2型骨折,翻身时间分别为伤后9～13 d与17～25 d,行走达5步时间分别为伤后17～21 d与45～57 d。两组患者均获随访,随访时间6～19个月。骨折均在2～6个月内愈合。术后6个月手术组患者疗效获优29例,良2例;对照组获优8例,良6例,与手术组比较差异有统计学意义(χ2=6.636,P=0.017)。结论正确的经皮内固定技术结合全螺纹加压无头空心螺钉,能够快速减轻患者痛苦、提高生活质量,并有较好的治疗效果。
Objective To evaluate the effectiveness of percutaneous fixation of pelvic fracture by Acutrak full thread headless hollow compression screw.Methods Between March 2008 and April 2010,31 patients with pelvic fracture underwent percutaneous fixation surgery with Acutrak full thread headless hollow compression screw（surgical group）.The effectivenss was compared with those of 14 patients with pelvic fracture treated conservatively（control group）.There was no significant difference in age and sex between 2 groups（P 0.05）.The injury was more severe in surgical group than in control group.The standard of short-term recovery was active turning over and walking for 5 steps with walking aids.The standard of long-term recovery was pain,gait,fracture healing,and function recovery.Results In surgical group,the other patients reached the standard of short-term recovery at 1-4 days after injury except 1 patient who had sacral plexus injury;in control group,the patients could turn over at 9-13 days（Tile type A2） and 17-25 days（Tile type B2） respectively,and could walk at 17-21 days（Tile type A2） and at 45-57 days（Tile type B2） respectively.The patients of 2 groups were followed up 6-19 months.The time of fracture healing was 2-6 months.The long-term results were excellent in 29 cases and good in 2 cases in surgical group,and were excellent in 8 cases and good in 6 cases in control group,showing significant difference between 2 groups（χ2=6.636,P=0.017）.Conclusion Percutaneous internal fixation combined with Acutrak full thread headless hollow compression screw can provide more effective treatment.It can alleviate patients,pain quickly,improve life quality,and has better long-term effectiveness.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2012年第1期91-96,共6页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
骨盆骨折
经皮技术
空心螺钉
微创手术
Pelvic fracture Percutaneous technique Headless hollow compression screw Minimally invasive surgery
