经皮螺钉内固定结合支架外固定治疗Tile C型骨盆骨折  

Treatment of Tile C Type Pelvic Fractures by Percutaneous Screw Internal Fixation Combined with External Fixation

作　　者：周英勇[1] 程少文[2] 陈克伟[1] 李红波[2] 顾运涛 孟珠龙 彭磊[1] 

机构地区：[1]温州医科大学附属第二医院骨科,325000 [2]海南医学院附属医院创伤中心,海口570102

出　　处：《医学研究杂志》2016年第4期116-119,125,共5页Journal of Medical Research

基　　金：海南省社会发展科技专项基金资助项目(SF201416);海南省卫生厅重点项目(琼卫2013重点-06号)

摘　　要：目的评价经皮螺钉内固定结合支架外固定治疗Tile C型骨盆骨折的疗效。方法采用经皮螺钉内固定结合支架外固定治疗Tile C型骨盆骨折患者28例，术后随访观察骨折愈合及髋部功能恢复情况。结果28例患者均成功随访，随访时间3—24个月（平均18个月）。全部病例均在6个月内I期愈合（平均3．8个月），1例出现大腿外侧皮肤麻木感，考虑股外侧皮神经损伤，对症治疗1个月后症状缓解；2例出现钉道反应，加强换药后反应消失。随访按Tornetta标准评价：19例优，7例良好，2例可，优良率92．8％；按Majeed功能评分表评分：16例优，8例良好，3例可，1例较差，优良率85．7％。结论经皮螺钉内固定结合支架外固定治疗Tile C型骨盆骨折微创、安全、有效，值得临床推广应用。Objective To discuss the clinical outcomes of percutaneous screw internal fixation combined with external fixation in treatment of Tile C type pelvic fractures. Methods Twenty eight patients with Tile C type pelvic fractures were treated with percutaneous screw internal fixation combined with external fixation. After the operation,following - up observation of fracture healing and the hip joint function recovery was perfomed. Results All 28 patients were followed up for 3 to 24 months （average, 18 months）. All patients were healed within 6 months （ average 3.8 months）. 1 patients felt numbness of the lateral skin of thigh. It was considered that it was caused by the injury of the lateral cutaneous nerve of the thigh. After 1 months of treatment, the symptoms were relieved. Two patients happened in- fection reaction associated with screw. It disappeared after treatment. According to the Tornetta standard, the results were excellent in 19 ca- ses,good in 7 cases, fair in 2 cases. The total excellence rates amounting to 92.8%. According to Majeed functional scoring, the results were excellent in 16 cases,good in 8 cases,fair in 3 cases,poor in 1 case. the total excellence rates amounting to 85.7%. Conclusion Percutaneous screw internal fixation combined with external fixation is minimally invasive, safe and effective in treatment of Tile C type pelvic fractures, therefore, it is worth promoting and applying in clinics.

关 键 词：骨盆骨折 经皮 螺钉内固定 外固定支架 

分 类 号：R6[医药卫生—外科学]