骨盆骨折经皮撬拨复位结合外固定器微创治疗的效果观察  

Observation of effect by percutaneous poking reduction combined with external fixator in the treatment of pelvic fracture

作　　者：赵振刚[1] 吕涛[1] 戴彬[1] 姜丽丽[1] 

机构地区：[1]一汽总医院(吉林大学第四医院)骨科,130011

出　　处：《中国实用医药》2016年第36期10-13,共4页China Practical Medicine

基　　金：一汽科技资金资助项目(项目编号:ky2015-07)

摘　　要：目的研究经皮撬拨复位结合外固定器微创治疗骨盆骨折的治疗效果。方法 30例骨盆骨折手术患者,随机分成观察组和对照组,各15例。观察组患者采用经皮撬拨复位结合外固定器微创治疗,对照组患者采用内固定钢板手术治疗。比较两组患者的治疗效果。结果观察组患者手术时间、输血量及住院时间均少于对照组,差异具有统计学意义(P<0.05)。观察组康复时间为(7.2±1.5)周,明显短于对照组的(10.3±2.5)周(P<0.05);观察组组织损伤范围为(5.7±1.8)cm,明显小于对照组的(15.5±4.5)cm(P<0.05);观察组并发症发生率为6.67%,明显低于对照组的40.00%(P<0.05)。术后6、16个月,观察组Majeed术后骨盆功能评分均高于对照组,差异具有统计学意义(P<0.05)。观察组治疗优良率显著高于对照组(P<0.05)。结论经皮撬拨复位结合外固定器微创治疗骨盆骨折较骨盆骨折内固定钢板手术有明显优势。Objective To research curative effect by percutaneous poking reduction combined with external fixator in the treatment of pelvic fracture. Methods A total of 30 patients with pelvic fracture were randomly divided into observation group and control group, with 15 cases in each group. The observation group received percutaneous poking reduction combined with external fixator for minimally invasive treatment, and the control group received internal fixation plate operation for treatment. Comparison was made on curative effects between the two groups. Results The observation group had all less operation time, blood transfusion volume and hospital stay time than the control group, and their difference had statistical significance （P〈0.05）. The observation group had shorter rehabilitation time as （7.2 ± 1.5） weeks than （10.3 ± 2.5） weeks in the control group （P〈0.05）. The observation group had smaller tissue damage extent as （5.7 ± 1.8） cm than （15.5 ± 4.5） cm in the control group （P〈0.05）. The observation group had obviously lower incidence of complications as 6.67% than 40.00% in the control group （P〈0.05）. In 6 and 16 months after operation, the observation group had all higher postoperative pelvic function scores than the control group, and their difference had statistical significance （P〈0.05）. The observation group had much higher treatment good rate than the control group （P〈0.05）. Conclusion Comparing with internal fixation plate operation for pelvic fracture, combination of percutaneous poking reduction and external fixator shows remarkable advantages in treating pelvic fracture.

关 键 词：骨盆骨折 经皮撬拨 外固定器 微创 

分 类 号：R687.32[医药卫生—骨科学]