复合固定技术治疗不稳定性骨盆骨折  

Treatment of unstable pelvic fractures with complex fixation

作　　者：王金堂[1] 李天清[1] 张小卫[1] 李萌[1] 

机构地区：[1]西安交通大学医学院第一附属医院骨科,西安710061

出　　处：《中国矫形外科杂志》2008年第22期1689-1691,共3页Orthopedic Journal of China

摘　　要：[目的]探讨复合固定技术治疗不稳定性骨盆骨折的疗效。[方法]2000年1月-2007年6月共收治28例不稳定性骨盆骨折患者。男18例，女10例，年龄22～68岁，平均38岁。按Tile分型：B2型9例，B3型8例，C1型6例，C2型2例，C3型3例。均有不同的合并损伤，28例患者采用复合固定技术进行了手术治疗。[结果]根据影像学Matta法和功能恢复情况评价，优18例，良7例，可2例，差1例，优良率89％。[结论]早期外固定为抢救赢取时间，病情平稳后根据情况选择内固定治疗，复合固定技术是治疗不稳定性骨盆骨折的良好方法。[ Objective] To evaluate the outcomes of treatment of unstable pelvic fractures with complex fixation. [ Method ] Twenty-eight cases of patients with unstable pelvic fracture from January 2000 to June 2007 were treated and followed-up. Eighteen cases were male, 10 cases were female, aged from 22 to 68 years old, with the average of 38-years-old. The types of fracture were classified by Tile classification：Type B2 9 cases,Type B3 8 cases,Type C1 6 cases,Type C2 2cases,Type C3 3 cases. The 28 cases had different complicated injury, all the patients were treated with complex fixation. [ Result ] After being evaluated by the Matta scale and the functional outcome, the outcomes of reduction were excellent in 18 cases, good in 7, fair in 2 and poor in 1, with an excellent and good rate of 85%. [ Conclusion] External fixation can win the time for the rescue, choose internal fixation after stable condition, the complex fixation technology is a good way to treat unstable pelvic fractures.

关 键 词：骨盆骨折 内固定 重建钢板 创伤性关节炎 

分 类 号：R687.3[医药卫生—骨科学]