不稳定型骨盆骨折修复60例:金属植入物不同置入途径分析  

Repair of unstable pelvic fracture in 60 cases: pathway of metallic implants

作　　者：李杰[1] 庄颜峰[1] 王兵站[2] 

机构地区：[1]解放军南京军区福州总医院骨二科,福建省福州市350025 [2]郑州大学附属医院骨科,河南省郑州市450052

出　　处：《中国组织工程研究》2015年第9期1410-1415,共6页Chinese Journal of Tissue Engineering Research

摘　　要：背景:不稳定型骨盆骨折是一种常见的骨折类型,具有病情复杂和并发症多等特点,临床治疗可以采用保守或者手术方式。但保守治疗大多无法获得满意的治疗效果,因此不同金属植入物的固定治疗成为不稳定型骨盆骨折的主要修复方式。目的:探讨不同金属植入物在不稳定型骨盆骨折治疗中的应用价值。方法:从解放军南京军区福州总医院骨科2012年9月至2013年9月收治的不稳定型骨盆骨折患者中按随机数字表法选择60例进行研究,对患者进行Tile分型:B1型8例,B2型20例,B3型9例,C1型15例,C2型8例。分型之后分别给予不同的金属植入物固定治疗,依据骨折类型的不同决定前路或者后路途径。一般B型采用前路途径,C型采用前路+后路途径。治疗后给予抗生素预防感染,引流管于48-72 h内拔除,治疗后3 d逐渐进行康复训练。结果与结论:治疗后随访1-12个月,所有患者均获得随访。患者修复效果优良率为95%。7例患者出现术后并发症,并发症发生率为12%,均给予积极的对症治疗痊愈,未出现严重的并发症。提示对不稳定型骨盆骨折患者进行不同金属植入物固定治疗可以获得良好的修复效果,具有一定的临床应用价值。BACKGROUND：The unstable pelvic fracture is a common type of fracture, has the characteristics of complex disease and complications. Clinical treatment can use conservative or surgical methods. However, the most conservative treatment cannot achieve satisfactory therapeutic effects. Therefore, surgical treatment of different metal implants has become the main mode of treatment of unstable pelvic fracture. OBJECTIVE：To explore the application value of metal ic implants in the treatment of unstable pelvic fracture. METHODS：A total of 60 patients with unstable pelvic fracture in the Department of Orthopedics, Fuzhou General Hospital of Nanjing Military Area Command of Chinese PLA in China from September 2012 to September 2013 were selected and were given different treatments of metal implants operation after typed, including 8 cases of type B1, 20 cases of type B2, 9 cases of type B3, 15 cases of type C1 and 8 cases of type C2. According to different types of fracture, anterior and posterior approaches were performed. General y, patients with type B received anterior approach, and those with type C received anterior＋posterior approach. After treatment, antibiotics were used to prevent infection. Drainage tube was pul ed out within 48-72 hours. Rehabilitation training was gradual y performed at 3 days after treatment. RESULTS AND CONCLUSION：Al patients were fol owed up for 1-12 months after treatment. The excel ent and good rate was 95%. Complications occurred in seven patients after operation. The complication rate was 12%. They received active symptomatic treatment and were cured. No serious complications appeared. Above results confirmed that unstable pelvic fracture patients obtained good repair effect using different metal implants, and have a certain value in clinical application.

关 键 词：植入物 骨植入物 不稳定型骨盆骨折 金属植入物 置入途径 前路 后路 并发症 疗效优良率 随访研究 应用价值 

分 类 号：R318[医药卫生—生物医学工程]