骨盆前外固定术治疗不稳定性骨盆骨折的效果  

Effect of pelvic anterior external fixation in the treatment of unstable pelvic fractures

作　　者：肖东波[1] XIAO Dong-bo(Ankang Central Hospital, Ankang 725000, China)

机构地区：[1]陕西省安康市中心医院,陕西安康725000

出　　处：《临床医学研究与实践》2019年第11期45-47,共3页Clinical Research and Practice

摘　　要：目的探究骨盆前外固定术治疗不稳定性骨盆骨折的效果。方法回顾性分析本院2017年1月至2018年1月收治的69例不稳定性骨盆骨折患者的临床资料,按照病例号奇偶性将患者分为对照组(n=35)和试验组(n=34)。对照组患者采用切开复位内固定术进行治疗,试验组患者采用骨盆前外固定术进行治疗。比较两组患者的治疗效果、手术相关指标(手术时间、引流管留置时间、术后排气时间、住院时间、拔管时间、肿胀消退时间、骨痂形成时间、下床活动时间及术中出血量)、并发症发生情况及手术前、后的Majeed评分。结果试验组患者的治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。试验组患者的手术时间、引流管留置时间、术后排气时间、住院时间、拔管时间、肿胀消退时间、骨痂形成时间及下床活动时间均短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。试验组的并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。术后3、5个月,两组患者的Majeed评分均较术前升高,且试验组均高于对照组,差异具有统计学意义(P<0.05)。结论采用骨盆前外固定术治疗不稳定性骨盆骨折效果显著,能缩短手术时间、引流管留置时间、术后排气时间、住院时间、拔管时间、肿胀消退时间、骨痂形成时间及下床活动时间,有效减少术中出血量及并发症,提升Majeed评分,值得临床深入研究。Objective To investigate the effect of pelvic anterior external fixation in the treatment of unstable pelvic fractures. Methods The clinical data of 69 patients with unstable pelvic fractures admitted in our hospital from January2017 to January 2018 were retrospectively analyzed. According to the odd and even number of cases, the patients were divided into control group(n=35) and experimental group(n=34). The patients of the control group were treated with open reduction and internal fixation, while the patients of the experimental group were treated with pelvic anterior external fixation. The treatment effects, operative related indicators(operation time, indwelling time of drainage tube, postoperative exhaust time, hospitalization time, extubation time, swelling subsidence time, callus formation, activity time of getting out of bed and intraoperative bleeding volume), complications and Majeed scores before and after operation were compared between the two groups. Results The total effective rate of treatment in the experimental group was higher than that of the control group, and the difference was statistically significant(P <0.05). The operation time, indwelling time of drainage tube, postoperative exhaust time, hospitalization time, extubation time, swelling subsidence time, callus formation time and activity time of getting out of bed in the experimental group were shorter than those in the control group, and the intraoperative bleeding volume was less than that in the control group, and the differences were statistically significant(P<0.05). The total incidence of complications in the experimental group was lower than that in the control group, and the difference was statistically significant(P<0.05). At 3 and 5 months after operation, the Majeed scores of the two groups increased compared with those before operation, and those in the experimental group were higher than the control group,and the differences were statistically significant(P<0.05). Conclusion The pelvic anterior external fixation is effectiv

关 键 词：骨盆前外固定术 不稳定性骨盆骨折 切开复位内固定 

分 类 号：R687.3[医药卫生—骨科学]