微创经皮桥接钢板技术治疗骨盆前环骨折的疗效分析  

Therapeutic effect of minimally invasive percutaneous plate osteosynthesis in treatment of anteriorpelvic ring fractures

作　　者：张殿英[1] 郁凯[2] 董胜利[2] 李响[2] 付中国[1] 姜保国[1] 

机构地区：[1]北京大学人民医院创伤骨科,100044 [2]天津市第五中心医院骨科

出　　处：《中华创伤杂志》2013年第1期33-37,共5页Chinese Journal of Trauma

基　　金：国家“十一五”科技支撑计划资助项目（2005cB522604）;国家杰出青年科学基金资助项目（30625036）;国家自然科学基金资助项目（30801169,30971526,30973066）;卫生公益性行业科研专项资助项目（201002014）;北京市科技新星资助项目（A-2008-10）;首都医学发展科研基金资助项目（2007-2011）;北京市自然科学基金资助项目（7113170）;教育部博士点新教师基金资助项目（20090001120096）.

摘　　要：目的探讨微创经皮桥接钢板内固定（minimallyinvasivepercutaneousplateosteosyn—thesis，MIPPO）治疗不稳定骨盆前环骨折的可行性及临床疗效。方法回顾性分析8例骨盆骨折患者资料，其中男5例，女3例；年龄21～57岁，平均38岁。按Tile分类均为不稳定骨折。前环骨折闭合复位后均采用MIPPO治疗。依据Matta影像学评分标准评定复位效果。结果患者均获随访3～5个月，平均4．1个月。8例患者骨盆前环复位，其中5例满意，3例良好。骨折均获得骨性愈合，无血管神经损伤、伤口感染、术中大出血、下肢深静脉血栓形成或术后长期疼痛等并发症。结论采用MIPPO治疗骨盆前环骨折具有术中出血量少、软组织并发症少及感染率低等优点，且易于取出，是一种有前景的手术方式。Objective To discuss feasibility and clinical effect of minimally invasive percutaneous plate osteosynthesis （MIPPO） in treatment of unstable anterior pelvic ring fractures. Methods A retrospective study was carried out on data of eight patients with pelvic fractures, including five males and three females at age of 21-57 years （average 38 years）. All fractures were identified as unstable type according to Tile classification. MIPPO was performed for all patients after closed reduction. Reduction effect was analyzed according to Matta radiological evaluation criterion. Results All patients were followed up for 3-5 months （average 4.1 months） , which showed reduction of anterior pelvic ring in eight patients including satisfactory reduction in five patients and good reduction in three. Fractures in all patients obtained bony union without complications like vascular nerve injury, wound infection, intraoperative massive hemorrhage, deep venous thrombosis or postoperative long-term pain. Conclusion MIPPO has advantages of reduced bleeding, few soft tissue complications, low infection rate and easy removal in treatment of anterior pelvic ring fractures and thereby is a promising surgical method.

关 键 词：骨盆 骨折固定术 内 回顾性研究 

分 类 号：R687.3[医药卫生—骨科学]