外固定支架在交通伤致不稳定型骨盆骨折中的应用  

Treatment of unstable pelvic fracture caused by traffic accident with external fixator

作　　者：侯振海[1] 倪志明[1] 施建国[1] 叶虹[1] 郑隆宝[1] 顾江军[1] 姚军[1] 

机构地区：[1]解放军第117医院创伤骨科,浙江杭州310004

出　　处：《东南国防医药》2009年第6期491-492,501,共3页Military Medical Journal of Southeast China

基　　金：浙江省科技攻关计划项目资助(2006C33011)

摘　　要：目的探讨骨盆外固定支架在交通伤致不稳定型骨盆骨折中的应用。方法回顾性分析我院2002年1月-2005年1月采用骨盆外固定架治疗的37例交通伤致不稳定型骨盆骨折病例,对其疗效进行分析。结果本组37例,2例死亡,3例未随访,32例获得平均19.4月随访,按M atta疗效评定标准,优良率81.3%。结论交通伤所致不稳定型骨盆骨折多合并其他脏器损伤,伤情较重,早期采用外固定支架治疗可简单、迅速地完成骨盆骨折的固定,有利于稳定血流动力学,提高救治成功率。Objective To evaluate the effect of external fixatior for the treatment of unstable pelvic fracture caused by traffic accident. Method 37 cases of unstable pelvic fracture caused by traffic accident who were treated with external fixator at our hospital between Jan, 2002 and Jan, 2005 were retrospectively analyzed. Result Of the 37 cases, 2 resulted in death, 3 missed follow - up. The average follow - up period was 19.4 months for the 32 cases. The total excellent and good rate was 81.3% according to Matta evaluation system. Conclusion The unstable pelvic fracture caused by traffic accident were often combined with other important organ injuries. The external fixator can be used to simply and quickly fix the pelvic fracture and keep the stabilization of the hemodynamics. It is an effective and minimal treatment to improve the treatment success rate and reduce disability.

关 键 词：骨盆骨折 不稳定 交通伤 外固定支架 

分 类 号：R683.3[医药卫生—骨科学]