不稳定性儿童骨盆骨折的内固定治疗  

Internal fixation of unstable pelvic fractures in children

作　　者：郑强[1] 潘志军[1] 黄宗坚[1] 

机构地区：[1]浙江大学医学院第二医院骨科,杭州310009

出　　处：《中华小儿外科杂志》2005年第2期93-96,共4页Chinese Journal of Pediatric Surgery

摘　　要：目的对9例不稳定性儿童骨盆骨折的诊断治疗进行分析,总结儿童骨盆骨折的特点及内固定治疗的方法和经验.方法回顾分析9例复杂儿童骨盆骨折病例,男5例,女4例,年龄6～16岁,平均12岁.KeyⅢ型8例,Ⅳ型1例,均采用切开复位内固定手术.结果经6～50个月,平均24.5个月的随访.根据X线片、临床检查及患儿的主观感受评定.按照Majeed的疗效评价标准,优8例,良1例.结论对于不稳定性骨盆骨折的患儿,非手术治疗无法复位并保持稳定者应考虑及时采取手术治疗,根据年龄选择手术及内固定的方式,手术效果满意.Objective To review our experience in managing unstable pelvic fracture in children. Methods Nine children with complex unstable pelvic fracture were analyzed retrospectively. There were 5 boys and 4 girls. The age ranged from 6 to 16 years with an average of 12 years. According to Key classification, 8 were of grade Ⅲ and 4 were of grade Ⅳ. All patients required operative reduction and internal fixation . Results All patients underwent internal fixation and were followed-up for 6 to 50 months ( median ~24.5 months). The clinical result was assessed with radiograph ,patient's evaluation and the criteria of Majeed. Eight patients had excellent result and 1 had good result. Conclusions Internal fixation should be carried out in children with complex unstable pelvic fracture and the outcome was satisfactory.

关 键 词：骨盆骨折 内固定治疗 儿童 手术 年龄 患儿 疗效评价标准 评定 不稳定性 

分 类 号：R726.8[医药卫生—儿科]