经皮螺钉结合有限切开内固定治疗Tile C型骨盆骨折  

Percutaneous screw combined with limited internal fixation in the treatment of pelvic fracture of Tile C type

作　　者：彭扬国[1] 王京亮[1] 翁阳华[1] 李忠辉[1] 陈继宗[1] 李培[1] 欧耀芬[1] 

机构地区：[1]东莞市虎门医院骨科,广东东莞523902

出　　处：《中国临床解剖学杂志》2009年第3期360-362,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的:探讨经皮骶髂螺钉结合有限切开内固定治疗Tile C型骨盆骨折的临床价值。方法:采用CT引导下经皮骶髂螺钉内固定结合有限切开内固定治疗Tile C型骨盆骨折15例,按照Tile分型均为C型骨折,C1型9例,C2型4例,C3型2例。结果:14例复位满意;1例未完全复位,纵向移位约0.8cm。骨折愈合时间8周～5月,平均3.4月,1例耻骨联合伤口发生浅表感染,经换药治愈。15例全部获得随访,随访时间15月～60个月,平均40个月,根据Majeed评估标准,优9例,良4例,可2例,优良率86.7%,4例术前骶丛神经损伤患者全部于3月后恢复,1例诉腰骶部疼痛,1例诉耻骨联合处疼痛。结论:经皮骶髂螺钉结合有限切开内固定治疗Tile C型骨盆骨折是一种安全、有效、微创的方法。Objective： To explore the clinic values of percutaneous screw combined with limited intemal fixation in the treatment of pelvic fracture of Tile C type. Methods：Under the guide of CT, percutaneous screw combined with limited intemal fixation was used to treat 15 cases of pelvic fracture of Tile C type （9 cases of C1 type, 4 cases of C2, 2 cases of C3）. Results：The reduction was excellent in 1 4 cases, only one case was poor, with the lengthwise displace of 0.8 cm. The period of union of fracture ranged from 8 weeks to 5 months, averagely 3.4 months. Light infection appeared in the wound of pubic symphysis for one case, which was cured by changing dressings. All cases were followed up for 15 to 60 months, averagely 40 months. According to the Majeed score, 9 cases were excellent, 4 good and 2 fair, with the excellent and good rate of 86.7%. 4 cases suffered from sacral plexus injury preoperatively recovered 3 months after operation. Two cases informed pain of lumbosacral area and pubic symphysis respectively. Conclusions： Percutaneous screw combined with limited internal fixation is a reasonable operation for treating pelvic fracture of Tile C type.

关 键 词：骨盆 骨折 经皮螺钉 有限切开 内固定 

分 类 号：R683.3[医药卫生—骨科学]