经皮骶髂螺钉与骶髂关节前方钢板固定治疗不稳定性骨盆骨折的临床疗效分析  

Clinical Effect of Percutaneous Sacroiliac Screws Fixation and Plate Fixation in Front of Sacroiliac Joints in Treating Unstable Pelvic Fractures

作　　者：刘洪[1] 唐长友[1] 贺健军[1] 

机构地区：[1]长沙市第四医院骨一科,湖南长沙410006

出　　处：《临床医学工程》2015年第10期1329-1330,共2页Clinical Medicine & Engineering

摘　　要：目的探讨不稳定性骨盆骨折分别采用骶髂关节前方钢板固定与经皮骶髂螺钉固定治疗的临床效果。方法选取2011年3月至2014年3月我院收治的不稳定性骨盆骨折患者82例,随机分为两组各41例。对照组采用骶髂关节前方钢板固定治疗,观察组采用经皮骶髂螺钉固定治疗。比较两组的手术时间、切口长度、术中出血量、住院时间、治疗效果及并发症发生情况。结果观察组切口长度、手术时间及住院时间均明显短于对照组,术中出血量明显少于对照组;观察组骨折复位优良率95.12%显著高于对照组的75.61%;观察组并发症发生率4.88%显著低于对照组的19.51%;差异均具有统计学意义(P<0.05)。结论在不稳定性骨盆骨折内固定治疗中,采用经皮骶髂螺钉术,创伤小,恢复快,临床效果更好,安全性更高,值得推广。Objective To investigate the clinical effect of plate fixation in front of sacroiliac joints and percutaneous sacroiliac screws fixation in treating unstable pelvic fractures. Methods 82 patients with unstable pelvic fractures treated in our hospital from March 2011 to March 2014 were selected and randomly divided into two groups. The control group （41 cases） was treated with plate fixation in front of sacroiliac joints, the observation group （41 cases） was treated with percutaneous sacroiliac screws fixation. The operation time, length of incision, bleeding volume during operation, hospitalization time, the treatment effects and complications were compared between two groups. Results The length of incision, operation time and hospitalization time of observation group were significantly shorter than those of control group, the bleeding volume during operation was significantly less than that of control group;the excellent and good rate of fracture reduction in observation group was 95.12%, significantly higher than 75.61%of control group;the incidence of complications of observation group was 4.88%, significantly lower than 19.51%of control group;all the difference was statistical （P〈0.05）. Conclusions In the treatment of unstable pelvic fractures, percutaneous sacroiliac screws fixation has the advantages of small trauma, quick recovery, better clinical effect and higher safety, which is worthy of promotion.

关 键 词：不稳定性骨盆骨折 内固定方法 临床效果 

分 类 号：R687.3[医药卫生—骨科学]