摘要
目的探讨经髂腹股沟入路治疗不稳定性骨盆骨折(C型)的方法及疗效。方法对68例C型不稳定性骨盆骨折患者进行经髂腹股沟入路切开复位并重建钢板内固定治疗,分析其手术情况、骨折复位及功能恢复情况。结果手术平均时间(112.5±25.6)min,术中未出现神经、肌肉、血管医源性损伤,术后无严重并发症。骨折复位Tometta评分:优40例,良24例,中4例;术后功能评定:优42例,良18例,可7例,差1例。结论经髂腹股沟入路可获得良好的骨折复位及功能恢复,是治疗C型不稳定性骨盆骨折的可靠选择。
Objective To explore the methods and curative effects of ilioinguinal approach in the treatment of unstable pelvic fracture（ C type）. Methods Sixty eight patients with unstable pelvic fracture （C type）received open reduction and reconstruction of plate internal fixation via the ilioinguinal approach. The surgical conditions, fracture reposition, and functional rehabilitation were analyzed. Results The average time of operation was （ 112.5 ＋ 25.6） min. There was no iatrogenic injury of nerve, muscle, or blood vessels,and no severe complications occmred after the operation. As to the fracture reposition Tometta scale, there were 40 excellent cases,24 good ones, and 4 medium ones. As to the postoperative functional evaluation, there were 42 excellent ones, 18 good ones, 7 medium ones, and one bad case. Conclusion The treatment via ilioinguinal approach can achieve satisfactory fracture reposition and functional rehabilitation. It is a reliable choice for the treatment of unstable pelvic fracture（ C type）.
出处
《西南国防医药》
CAS
2014年第3期277-278,共2页
Medical Journal of National Defending Forces in Southwest China
关键词
不稳定
骨盆骨折
髂腹股沟入路
复位
疗效
unstable
pelvic fracture
ilioinguinal approach
reposition
curative effect
