髋臼骨折手术治疗的临床探讨  

Clinical study of the effect of acetabulum fracture Surgery

作　　者：黄标[1] 张宏[1] 龙凤强[1] 

机构地区：[1]广东省梅州市五华县人民医院骨科,514400

出　　处：《中国实用医药》2012年第5期42-43,共2页China Practical Medicine

摘　　要：目的对髋臼骨折手术治疗治疗进行临床分析。方法对53例髋臼骨折患者,根据骨折移位程度、骨折类型、伤后时间等因素,41例在硬膜外麻醉下手术,12例在全麻下手术,分别选择不同的内固定材料进行手术。结果经随访3～36个月,术后无一例发生切口感染、坐骨神经、血管损伤、深静脉栓塞、股骨头坏死及关节周围骨化。骨折均愈合,愈合时间6～13周。结果评定:优20例,良26例,可4例,差3例,优良率86.8%。结论手术治疗髋臼骨折是有效方法,值得临床推广应用。Objective clinical analysis of the effect of surgery for acetabulum fractures. Methods 53 cases of patients with acetabular fracture were selected to observe. According to the degree of displacement frac- ture, fracture type and injury time, 41 cases were in surgery with epidural anesthesia and the others with general anesthesia. Different fixation materials were chosen. Results After 3 to 36 months＇ follow-up, postoperative wound infection, injury of sciatic nerve and vascular, deep vein embolism, femoral head necrosis and periartic- ular ossification had not occured. All fractures healed with the healing time from 6 weeks to 13 weeks. Evalua- tion of results： excellent in 20 cases, good in 26 cases, moderate in 4 cases, and poor in 3 cases. The rate of good healing was 86. 8%. Conclusion Operative treatment of acetabular fractures is an effective way, which is worthy of clinical application.

关 键 词：髋臼骨折 骨折固定术 

分 类 号：R687.3[医药卫生—骨科学]