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骨盆骨折的手术治疗 被引量:13

Operative Treatment of Pelvic Fracture
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摘要 目的 :探讨骨盆骨折各种手术方法的适应证及治疗效果。方法 :选择 3 2例骨盆骨折手术治疗病人 ,根据Tile’s分型及病人情况选择手术方法。多发伤、Tile’sB型早期 (平均 6.2h )行骨折闭合复位及外固定架固定 ,单纯骨盆骨折、Tile’sC型在伤后 5~ 7d行开放复位 ,用 3 .5~ 4.5mm重建钢板、拉力螺钉固定。结果 :本组 3 0例得到随访 ,平均随访 2 3 .4个月 ,骨折均愈合良好 ,肢体功能恢复良好。结论 :对于骨盆骨折 ,无论采取哪一种治疗方法 ,只要适应证选择得当 ,均能获得良好效果。 Objective:To investigat the indication and effect of treatment of pelvic fracture with two operative methods. Method: According to Tile's classification and condition of patient, 32 patients of pelvic fracture were treated with operation. The patients of mult-injury and Tile's B were treated with close reduction and external fixation early (mean 6.2h). The patients of simple pelvic fracture and Tile's C were treated with open reduction and internal fixation with 3.5~4.5mm reconstruction plate and lag screws in 5~7 days. Result:Thirty patients were followed in average 23.4 months. All fracture healed and function of extremity had recovered. Conclusion: For pelvic fracture, if you select a suitable indication, any operative methods would acquire good result.
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出处 《中国矫形外科杂志》 CAS CSCD 2003年第21期1451-1453,共3页 Orthopedic Journal of China
关键词 骨盆骨折 手术治疗 外固定架 内固定 Tile’S分型 适应证 Pelvic fracture External fixation Internal fixation
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  • 1李起鸿,骨外固定与临床应用,1992年,139页
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