摘要
目的观察经皮空心螺钉内固定和切开复位重建钢板内固定治疗骨盆骨折合并骶髂关节脱位的临床疗效。方法选取我院2009年3月至2012年3月进行手术治疗的38例骨盆骨折合并骶髂关节脱位患者进行病例对照研究,其中观察组(n=19)采用经皮空心螺钉内固定的术式进行固定治疗,对照组(n=19)采用切开复位重建钢板内固定的术式进行固定治疗,对比两种固定术式的骨折移位和术后功能恢复情况。结果观察组患者术后骨折移位属优者较多。两组患者术后各项恢复情况比较,观察组达优者10例(52.63%),较对照组4例(21.05%)多,差异具有统计学意义(P<0.05)。结论经皮空心螺钉内固定相对于传统的切开复位重建钢板内固定对患者正常生理结构和功能损伤小,术后恢复快,治疗效果优。
Objective To observe the clinical efficacy ofpercutaneous cannulated screw fixation or open reduction and internal fixation with reconstruction plate in the treatment of pelvic fracture complicated with sacroiliac joint dislocation. Methods Thirty-eight patients of pelvic fracture complicated with sacroiliac joint dislocation treat- ed by surgery from March 2009 to March 2012 were selected for a case-control study. The patients were divided into two groups, each with 19 patients. The observation group was treated by percutaneous cannulated screw fixation, while the control group applied open reduction and intcmal fixation with reconstruction plate. The displacement of the fracture and postoperative functional recovery were compared betwecn the two groups. Results The condition of fracture displacement in the observation group was better than that in the control group. The postoperative functional recovery was found exccllcnt in 10 patients （52.63%） in the observation group and 4 patients （21.05%） in the control group, with statistically significant difference between the two groups （P〈0.05）. Conclusion Pcrcutaneous cannulat- ed screw fixation results in less injury in the normal physiological structure, faster recovery after surgery, and better clinical efficacy, compared with conventional open reduction and internal fLxation with reconstruction plate.
出处
《海南医学》
CAS
2013年第8期1194-1195,共2页
Hainan Medical Journal
关键词
骨盆骨折
骶髂关节脱位
经皮空心螺钉
内固定
切开复位重建钢板内固定
Pclvic fracture
Sacroiliac joint dislocation
Pcrcutaneous cannulatcd screw fixation
Open reduction and internal fixation with reconstruction plate
