本文選題：后壁 + 髖臼骨折　； 參考：《河北醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:傳統(tǒng)上髖臼后壁骨折的手術(shù)治療常使用一塊或者兩塊重建鋼板,有時(shí)還需聯(lián)合使用彈性鋼板。為了能夠省去使用彈性鋼板并讓手術(shù)操作變得更加便利,本研究將介紹一種新的內(nèi)固定裝置即W型髖臼角鋼板,并經(jīng)過最少術(shù)后1年隨訪,前瞻性比較W型髖臼角鋼板與傳統(tǒng)重建鋼板治療髖臼后壁骨折的臨床效果。方法:本研究最終共納入55例單純髖臼后壁骨折患者,其中29例采用W型髖臼角鋼板進(jìn)行治療,另外26例則采用傳統(tǒng)重建鋼板進(jìn)行治療,詳細(xì)記錄并比較兩組病人的人口統(tǒng)計(jì)學(xué)資料、手術(shù)細(xì)節(jié)、住院時(shí)間、手術(shù)相關(guān)并發(fā)癥以及術(shù)后1年的髖關(guān)節(jié)功能和影像學(xué)評(píng)分。結(jié)果:兩組病人均獲得了最后的骨性愈合,且二者在住院時(shí)間和并發(fā)癥發(fā)生率方面無明顯差異。術(shù)后1年末次隨訪發(fā)現(xiàn)兩組病人的髖關(guān)節(jié)功能及影像學(xué)結(jié)果亦無明顯差異。然而,W型髖臼角鋼板組的平均手術(shù)時(shí)間(133.7±31.1 min)、出血量(562.1±290.8 ml)、透視時(shí)間(15.9±2.7 s)以及螺釘誤置率(6.9%)均明顯少于傳統(tǒng)重建鋼板組(181.9±37.4 min,823.1±258.2ml,31.4±3.3 s,38.5%;P0.05)。結(jié)論:我們的研究表明,W型髖臼角鋼板可有效用于治療髖臼后壁骨折。與傳統(tǒng)重鋼板相比,該新型內(nèi)固定系統(tǒng)具有手術(shù)時(shí)間與透視時(shí)間短、出血量少以及螺釘誤置率低等優(yōu)點(diǎn)。
[Abstract]:Objective: traditional surgical treatment of posterior acetabular fractures is usually performed with one or two reconstructive plates, sometimes with elastic plates. In order to save the use of elastic plate and make the operation more convenient, this study will introduce a new internal fixation device, the W-shaped acetabular plate, and be followed up for at least one year after operation. To prospectively compare the clinical effect of W type acetabular angle plate and traditional reconstruction plate in the treatment of acetabular posterior wall fracture. Methods: a total of 55 patients with acetabular posterior wall fractures were included in this study, 29 of whom were treated with W acetabular angle plate and 26 with traditional reconstruction plate. The demographic data, surgical details, length of stay, operative complications, hip function and imaging scores were recorded and compared in both groups. Results: the final bony healing was achieved in both groups, and there was no significant difference in the length of hospitalization and the incidence of complications between the two groups. There was no significant difference in hip function and imaging results between the two groups. However, the mean operative time (133.7 鹵31.1 min),) and the screw misplacement rate (6.9%) in the W type acetabular angle plate group were significantly lower than those in the conventional reconstruction plate group (133.7 鹵31.1 min), 562.1 鹵290.8 ml), fluoroscopy time, 15.9 鹵2.7s and 6.9%, respectively) (181.9 鹵37.4 mins, 823.1 鹵258.2 ml, 31.4 鹵3.3s38.5ml, P0.05). Conclusion: our study shows that W-type acetabular angle plate can be used to treat acetabular posterior wall fracture effectively. Compared with the traditional heavy plate, the new internal fixation system has the advantages of short operation time and fluoroscopy time, less bleeding and low screw misplacement rate.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R687.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前8條

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本文編號(hào)：2084968