摘要
目的分析垂直不稳定型骨盆后环损伤急诊患者应用微创骶髂三角固定治疗的有效性。方法选择2016年11月至2017年12月我院收治的80例垂直不稳定型骨盆后环损伤急诊患者为研究对象,按照随机信封法分为对照组和观察组,每组40例。对照组采用传统内固定治疗,观察组采用微创骶髂三角固定治疗。比较两组的临床疗效。结果观察组治疗总有效率显著高于对照组(P<0.05)。观察组的手术时间、术中出血量和愈合时间均显著优于对照组(P<0.05)。观察组的骨盆功能恢复率显著高于对照组(P<0.05)。观察组的CRP、IL-1α、IL-1β、IL-6和TNF-α水平均显著优于对照组(P<0.05)。观察组的并发症总发生率显著低于对照组(P<0.05)。结论应用微创骶髂三角固定治疗垂直不稳定型骨盆后环损伤急诊患者既可改善手术指标、炎性因子水平和骨盆功能,又可缩短骨折愈合时间并减少并发症,值得临床推广。
Objective To analyze the treatment effectiveness of minimally invasive sacroiliac triangle fixation inemergency patients with vertically unstable pelvic posterior ring injury. Methods From November 2016 to December 2017,a total of 80 emergency patients with vertically unstable pelvic posterior ring injury in our hospital were selected as theresearch objects, which were divided into control group and observation group by applying random envelope methods, with40 cases in each group. Traditional internal fixation treatment was used in the control group, minimally invasive sacroiliactriangle fixation treatment was applied in the observation group. Clinical efficacies of the two groups were compared.Results The total treatment effective rate in the observation group was significantly higher than that in the control group（P〈0.05）. The operation time, intraoperative blood loss amount and healing time in the observation group were significantlybetter than those in the control group （P〈0.05）. The recovery rate of pelvic function in the observation group wassignificantly higher than that in the control group （P〈0.05）. The levels of CRP, IL-1α, IL-1β, IL-6 and TNF-α in theobservation group were significantly better than those in the control group（P〈0.05）. The total incidence of complications inthe observation group was significantly lower than that in the control group （P〈0.05）. Conclusion The minimally invasivesacroiliac triangle fixation in the treatment of emergency patients with vertically unstable pelvic posterior ring injury cannot only improve operation indicators, levels of inflammatory indicators and pelvic function, but also shorten the healingtime and reduce the complications, which is worth popularizing in clinic.
作者
马飞
常捷芳
MA Fei;CHANG Jie-fang(Emergency Department;Gynecology Department,Hanzhong Central Hospital,Hanzhong 723000,China)
出处
《临床医学研究与实践》
2018年第34期67-69,共3页
Clinical Research and Practice
关键词
垂直不稳定型骨盆后环损伤
微创骶髂三角固定
骨盆功能
vertically unstable pelvic posterior ring injury
minimally invasive sacroiliac triangle fixation
pelvic function
