摘要
目的 探讨外固定架在骨盆骨折抢救、治疗中的应用。 方法 4 1例重症不稳定骨盆骨折患者根据骨盆骨折的类型、严重程度及是否合并其他脏器损伤选择性应用骨盆外固定架治疗。 结果 采用简易骨盆外固定架治疗后 ,8例及时行动脉造影选择性髂内动脉栓塞 ,13例择期行骨盆内固定 ,2例患儿行单纯外固定架治疗。 1例死于血流动力学不稳 ,其余平均随访 18个月 ,2例出现腰骶痛 ,余无异常。 结论 骨盆外固定是一种简单、安全、微创、有效的技术 ,可以在X线透视下迅速固定复位后的骨盆环移位。根据骨盆损伤类型和临床需要 ,骨盆外固定架可以用作抢救复苏时的临时固定装置、骨盆骨折的确切治疗方法或骨盆骨折切开复位内固定的辅助治疗。
Objective To discuss the value of the external fixators in first aid treatment of unstable pelvic fractures. Methods Different corresponding external fixations were performed in 41 cases of unstable pelvic fractures according to injury classification,injury severity,and the states whether there were other combined organ injury. Results After treatment with external fixation of pelvis,eight cases received hypogastric artery embolism at once,13 internal fixation of pelvic fractures and two single external fixation. All cases,except that one died because of hemodynamics out of control,were followed up for 18 months,of which two stated lumbosacral pain. Conclusions The pelvic external fixation is a simple,safe and effective operative technique with minor trauma. The anterior pelvic external fixation can be applied using fluoroscopic guidance to rapidly fixate the post-reduction pelvic ring dislocation. Pelvic external fixation can serve as a temporary resuscitative fixation device,as definitive treatment for pelvic fractures,or as a supplement for pelvic internal fixation depending on the specific pelvic ring injury pattern and clinical requirements.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2004年第6期326-329,共4页
Chinese Journal of Trauma
基金
河北省卫生厅跟踪资助项目 (3 2 0 .2 745 )
