本文選題：不穩(wěn)定性骨盆骨折 + 恥骨支骨折　； 參考：《廣東醫(yī)學》2017年16期

【摘要】：目的探討逆向經(jīng)皮空心螺釘固定恥骨上支治療恥骨支內(nèi)、外側(cè)骨折的臨床效果。方法對21例存在恥骨上支不穩(wěn)定性骨折的患者進行逆向經(jīng)皮空心螺釘固定,記錄手術(shù)及隨訪信息,并對恥骨上支內(nèi)、外側(cè)進行對比,評估臨床效果。結(jié)果平均手術(shù)時間(67.7±15.2)min,其中恥骨上支內(nèi)側(cè)骨折為(55.3±14.4)min,恥骨上支外側(cè)骨折為(76.5±15.4)min,兩者差異有統(tǒng)計學意義(P0.05)。術(shù)中出血量平均(42.5±5.2)m L,內(nèi)、外側(cè)間差異無統(tǒng)計學意義(P0.05)。術(shù)后平均隨訪(9.3±2.2)個月,所有患者均未出現(xiàn)周圍器官損傷、傷口感染、褥瘡、神經(jīng)損傷以及肌肉萎縮等并發(fā)癥。1例恥骨上支外側(cè)骨折病例出現(xiàn)內(nèi)固定周圍骨折,1例恥骨上支外側(cè)骨折病例出現(xiàn)退釘現(xiàn)象,其余所有患者骨折愈合良好。共16例患者完成Majeed評分,恥骨上支內(nèi)側(cè)骨折患者中5例優(yōu),2例良;外側(cè)骨折患者中5例優(yōu),3例良,1例可。結(jié)論逆向經(jīng)皮空心螺釘內(nèi)固定治療恥骨上支內(nèi)、外側(cè)骨折是一種安全、有效的治療方法。其中恥骨上支內(nèi)側(cè)骨折手術(shù)時間更短,但兩者臨床效果并無明顯差異。
[Abstract]:Objective to investigate the clinical effect of retrograde percutaneous hollow screw fixation of superior pubic branch in the treatment of medial and lateral pubic branch fractures. Methods 21 patients with unstable fracture of superior pubic branch were treated with reverse percutaneous hollow screw fixation, the information of operation and follow-up were recorded, and the medial and lateral superior pubic branch were compared to evaluate the clinical effect. Results the average operative time was 67.7 鹵15.2min, including 55.3 鹵14.4min in the medial fracture of the superior pubic branch and 76.5 鹵15.4 min in the lateral fracture of the suprapubic branch. The difference between the two groups was statistically significant (P 0.05). The average volume of intraoperative bleeding was 42.5 鹵5.2mL, and there was no significant difference between medial and lateral areas (P 0.05). The average follow-up period was 9.3 鹵2.2 months. No peripheral organ injury, wound infection, bedsore were found in all patients. Nerve injury and muscular atrophy. 1 case of lateral fracture of superior pubic branch appeared peripubic fracture and 1 case of lateral fracture of superior branch of pubis appeared denailing phenomenon. All the other patients had good fracture healing. Majeed score was completed in 16 patients, of whom 5 were excellent in medial fracture of superior pubic branch and 3 were good in lateral fracture. Conclusion Percutaneous internal fixation with hollow screw is a safe and effective method for the treatment of medial and lateral fractures of superior pubic branch. The operative time of medial superior pubic branch fracture was shorter, but there was no significant difference between them.
【作者單位】： 南雄市人民醫(yī)院骨科;南方醫(yī)科大學南方醫(yī)院創(chuàng)傷骨科;
【基金】：廣東省醫(yī)學科研基金立項課題(編號:A2015510)
【分類號】：R687.3

【相似文獻】

相關(guān)期刊論文 前2條

1 裘邯軍;李明;徐榮明;周耀;竺智雄;;恥骨上支髓內(nèi)螺釘固定的應(yīng)用解剖學研究[J];現(xiàn)代實用醫(yī)學;2010年02期

2 袁欣華;吳乃慶;龐清江;黃濤;張前法;鄭興國;韓群穎;;逆行恥骨上支髓內(nèi)螺釘固定應(yīng)用解剖研究[J];中國骨與關(guān)節(jié)損傷雜志;2006年07期

相關(guān)會議論文 前4條

1 袁欣華;吳乃慶;龐清江;黃濤;張前法;鄭興國;韓群穎;;逆行恥骨上支髓內(nèi)螺釘固定應(yīng)用解剖研究[A];2006年浙江省骨科學術(shù)會議暨浙江省脊柱脊髓學術(shù)會議論文匯編[C];2006年

2 袁欣華;吳乃慶;龐清江;黃濤;張前法;鄭興國;韓群穎;;逆行恥骨上支髓內(nèi)螺釘固定應(yīng)用解剖研究[A];浙江省醫(yī)學會骨科學分會30年慶典暨2011年浙江省骨科學學術(shù)年會論文匯編[C];2011年

3 袁欣華;龐清江;黃濤;張前法;鄭興國;吳乃慶;韓群穎;;逆行恥骨上支髓內(nèi)螺釘固定應(yīng)用解剖研究[A];浙江省中西醫(yī)結(jié)合學會骨傷科專業(yè)委員會第十一次學術(shù)年會暨省級繼續(xù)教育學習班論文匯編[C];2005年

4 袁欣華;龐清江;張前法;鄭興國;邱惠斌;張宗凱;趙守軍;;經(jīng)皮恥骨上支及骶髂關(guān)節(jié)螺釘在骨盆骨折中的應(yīng)用[A];浙江省醫(yī)學會骨科學分會30年慶典暨2011年浙江省骨科學學術(shù)年會論文匯編[C];2011年

，

本文編號：1858552